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Endovascular Therapy of Aortic Rupture Secondary to a Psoas Abscess

Serkan Asil1, Suat Görmel1, Ozan Köksal1

  • 1Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye.

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|July 14, 2023
PubMed

Insights

Secondary aortic infection, often from a psoas abscess, can cause aortic rupture. Endovascular stent-graft repair offers a lifesaving option, but long-term outcomes require further study.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases

Background:

  • Secondary aortic infections are rare but life-threatening, typically arising from adjacent infections like psoas abscesses.
  • Psoas abscess erosion of the aorta can lead to non-aneurysmal rupture, a critical surgical emergency.

Observation:

  • This case report details a primary psoas abscess causing non-aneurysmal aortic rupture.
  • The patient underwent endovascular aortic stent-graft implantation to control bleeding.

Findings:

  • Endovascular stent-grafting provided immediate lifesaving intervention for aortic rupture secondary to psoas abscess.
  • The durability and risk of late infections following endovascular repair remain significant concerns.

Implications:

  • Endovascular repair is a viable alternative to high-risk emergency surgery for aortic rupture from adjacent infections.
  • Long-term antibiotic therapy and surveillance are crucial for managing patients treated with endovascular aortic stent-grafts for secondary infection.

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