Juxtarenal Mycotic Aneurysm Managed by Neoaortoiliac System Buttressed with Posterior Rectus Sheath: A Novel Technique

Abstract

Abstract A mycotic aortic aneurysm is a rare condition which is difficult to manage and has a high mortality. It can be managed by in situ repair with allografts, antibiotic-soaked dacron grafts, or neoaortoiliac system (NAIS) using deep femoral-popliteal vein segment; extra-anatomic bypass or endovascular aneurysm repair as a bridge to definitive therapy. We present a case of a juxtarenal mycotic aneurysm managed by NAIS buttressed with posterior rectus sheath. On 6 months’ follow up patient is asymptomatic with healthy anastomosis and patent grafts.