Abstract
BackgroundMycotic aortic aneurysm is a rare and potentially life-threatening lesion, and endovascular repair has become increasingly accepted for intervention. Fenestrated endografts are available options to treat aneurysms involving visceral arteries. Here, we first report two patients with mycotic aortic aneurysm involving paraviscereal aorta who were successfully treated with custom-made fenestrated endograft.Case presentationTwo patients were presented with mycotic aortic aneurysm. Due to their comorbidities and the involvement of the renal arteries, company-manufactured fenestrated stents were designed. Meanwhile, antibiotic therapy was administrated for 2 months before endovascular repair. Patients improved well without complications.ConclusionsCustom-made fenestrated endovascular stent is an effective and feasible alternative solution to mycotic paravisceral aorta aneurysm.
Highlights
Mycotic aortic aneurysm is a rare and potentially life-threatening lesion, and endovascular repair has become increasingly accepted for intervention
Mycotic aortic aneurysm (MAA) is a rare and potentially life-threatening lesion of the aortic wall characterized by a rapid growth rate and a high risk of rupture
Golden standard management for MAA has been open surgical repair (OSR) with resection of the infected aortic segment and tissue debridement followed by revascularization
Summary
Two patients with mycotic aortic aneurysm involving paravisceral aorta were treated with company-manufactured, custom-made endovascular stents and recovered well without complications. Custom-made fenestrated stent is an effective and feasible alternative solution to mycotic paravisceral aorta aneurysm. Long-term surveillance of stents efficacy as well as freedom of infection is still required for the patients, and larger studies would be needed in the future to confirm these data
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