Complete regression of a symptomatic, mycotic juxtarenal abdominal aortic aneurysm after treatment with fenestrated endovascular aneurysm repair

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• 作者：Jonathan M. Durgin ; BS ; Edward J. Arous ; MD ; Shivani Kumar ; BS ; William P. Robinson III ; MD ; Jessica P. Simons ; MD ; MPH ; Andres Schanzer ; MD ; ^{andres.schanzer@umassmemorial.org" class="auth_mail" title="E-mail the corresponding author}
• 刊名：Journal of Vascular Surgery
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：64
• 期：3
• 页码：803-806
• 全文大小：513 K

文摘

Mycotic abdominal aortic aneurysms are rare and present unique challenges when potential treatment options are considered. Although aortic resection with in situ grafting techniques or extra-anatomic reconstruction are the treatments of choice, endovascular aortic repair has emerged as a suitable alternative in critically ill patients. We report the successful endovascular repair of a symptomatic, mycotic juxtarenal aortic aneurysm using a physician-modified fenestrated endograft. In this patient, with >6 months of follow-up, the aneurysm has completely regressed, illustrating that in select patients with complex mycotic aneurysms, endovascular repair combined with appropriate medical management is a viable treatment strategy.