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Updated: Jan 20, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Serial PET-CT Scans Can Help Determine Duration of Antibiotic Therapy After Endovascular Mycotic Thoracic Aortic
Jonathan Weissmann1, Ali Shnaker1, Shadi Mahajna1
1Vascular Surgery Unit, Meir Medical Center, Kfar Saba, Israel.
Abstract:
Mycotic aortic aneurysm is a rare vascular condition, with high-risk for fatal complications. In cases of bacterial infection, prolonged antibiotic therapy is administered. There is no consensus on duration of antibiotic therapy and close follow-up is recommended following surgical and endovascular interventions. We report a case of a patient, who was diagnosed with mycotic aneurysm and underwent successful endovascular repair. Extended postoperative antibiotic treatment was administered. The duration was determined by sequential Fluorine-18 fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) scans over a period of 6 months.
Insights
Mycotic aortic aneurysms require prolonged antibiotic therapy. Sequential PET-CT scans guided extended antibiotic treatment duration after successful endovascular repair in a rare case.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Radiology
Background:
- Mycotic aortic aneurysm is a rare, life-threatening vascular condition.
- Optimal duration of antibiotic therapy post-intervention lacks consensus.
- Close follow-up is crucial after surgical or endovascular repair.
Observation:
- A patient diagnosed with a mycotic aortic aneurysm underwent successful endovascular repair.
- Extended postoperative antibiotic treatment was administered.
- Treatment duration was guided by serial Fluorine-18 fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) scans.
Findings:
- Sequential PET-CT imaging over 6 months demonstrated successful aneurysm treatment.
- This approach allowed for a tailored duration of antibiotic therapy.
Implications:
- Serial PET-CT scans may offer a valuable tool for monitoring treatment response and guiding antibiotic duration in mycotic aortic aneurysms.
- This case highlights a potential strategy for managing complex vascular infections.
- Further research could validate this imaging-guided approach for optimizing patient outcomes.
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