Treatment of a descending thoracic mycotic aneurysm secondary to disseminated aspergillosis infection with thoracic endovascular aortic repair

Mycotic aortic aneurysms are a rare and potentially fatal aortic pathology. Advancements in vascular technology have allowed endovascular repair to be a durable and less invasive option for the treatment of mycotic aortic aneurysms. We have presented the case of a 51-year-old man with a mycotic aneu...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2022-09, Vol.8 (3), p.319-322
Main Authors: Choinski, Krystina N., Harris, Joshua D., Cooke, Peter V., Tadros, Rami O.
Format: Article
Language:English
Subjects:
Case report
Disseminated aspergillosis
Mycotic thoracic aortic aneurysm
Thoracic endovascular aneurysm repair
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Summary:Mycotic aortic aneurysms are a rare and potentially fatal aortic pathology. Advancements in vascular technology have allowed endovascular repair to be a durable and less invasive option for the treatment of mycotic aortic aneurysms. We have presented the case of a 51-year-old man with a mycotic aneurysm of the descending thoracic aorta secondary to chronic, disseminated aspergillosis infection after liver transplantation. The aneurysm was successfully treated with thoracic aortic stent graft deployment. No perioperative complications occurred, and follow-up computed tomography angiography showed no signs of an endoleak. The patient will continue with lifelong antifungal therapy and close follow-up with vascular surgery.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2022.04.009