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Published on: March 28, 2025
Incidental discovery of mycotic aortic aneurysm presenting after blunt trauma
Kaitlin Nguyen1, Jameson Petrochko2, Jacob Wilson3
1Division of Vascular and Endovascular Surgery, Department of Surgery, St Luke's University Health Network, 801 Ostrum St, Bethlehem, PA 18015, United States.
Abstract:
Mycotic aortic aneurysms pose a unique surgical challenge, with operative management dependent on patient factors and institutional capabilities. In an infected surgical field, cryopreserved aortic homograft (CAH) can provide a durable and infection-resistant repair. We present the case of a 48-year-old male with a mycotic abdominal aortic aneurysm, confounded by an initial diagnosis of blunt abdominal aortic injury. Endovascular aneurysm repair was performed; however, subsequent rapid mycotic degeneration elucidated an infectious component. The patient then underwent explantation of the infected graft with in-line reconstruction via CAH. He has demonstrated clinical stability and graft patency at 16 months postoperatively.
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