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Updated: Aug 15, 2025

A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Endovascular Aortic Repair for a Symptomatic Mycotic Aneurysm With Listeria monocytogenes: A Case Report
Noriyasu Masuda1, Takashi Azuma2, Hiroshi Furukawa1
1Department of Cardiovascular Surgery, Tokyo Women's Medical University Adachi Medical Center, Adachi-ku, Japan.
Purpose:
To report a case of successful endovascular aortic repair for a symptomatic mycotic abdominal aortic aneurysm infected with Listeria monocytogenes.
Case Report:
We report the case of an 88-year-old woman who presented with acute abdominal pain and vomiting. Approximately a year prior to her presentation, the patient was diagnosed with a mycotic abdominal aortic aneurysm with Listeria monocytogenes and was treated conservatively for more than 2 months at another hospital. At our hospital, contrast-enhanced computed tomography revealed an abdominal aortic aneurysm and an aneurysm of the left internal iliac artery. Endovascular aortic repair was performed successfully. At 16 months after the surgery, the patient remained asymptomatic on long-term antibiotics, and there was no enlargement of the aneurysm.
Conclusion:
Endovascular aortic repair and lifelong antibiotics may be an alternative therapy for mycotic abdominal aortic aneurysms. However, the risk of recurrent infection is high and warrants long-term follow-up.
Insights
This case report details a successful endovascular repair for a mycotic abdominal aortic aneurysm caused by Listeria monocytogenes. Long-term antibiotics and follow-up are crucial for managing this serious condition.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Aortic Aneurysm Management
Background:
- Mycotic abdominal aortic aneurysms (MAAAs) are rare but life-threatening infections.
- Listeria monocytogenes is an uncommon pathogen in MAAAs, often requiring complex management.
- Conservative treatment for MAAA can be associated with high morbidity and mortality.
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