Treatment of Primary Infected Juxtarenal Aortic Aneurysm With the Multilayer Stent

• Published in: Vascular and endovascular surgery 2013-10, Vol.47 (7), p.561-565
• Main Authors: Flis, Vojko, Matela, Jože, Breznik, Silva, Kobilica, Nina
• Format: Article
• Language: English
• Subjects: Abdominal Pain - microbiology; Aneurysm, Infected - diagnosis; Aneurysm, Infected - microbiology; Aneurysm, Infected - physiopathology; Aneurysm, Infected - surgery; Aortic Aneurysm, Abdominal - diagnosis; Aortic Aneurysm, Abdominal - microbiology; Aortic Aneurysm, Abdominal - physiopathology; Aortic Aneurysm, Abdominal - surgery; Aortography - methods; Blood Vessel Prosthesis Implantation - instrumentation; Endovascular Procedures - instrumentation; Fever - microbiology; Humans; Male; Middle Aged; Stents; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; Vascular Patency
• ISSN: 1538-5744; 1938-9116
• DOI: 10.1177/1538574413497108

Purpose: To report the use of multilayer uncovered stent to treat primary infected juxtarenal aortic aneurysm. Case Report: A 50-year-old man was admitted to hospital for rapid onset of intractable abdominal pain and high fever. Computed tomographic scan showed 2 juxtarenal saccular aneurysms of abdominal aorta with morphologic and clinical changes compatible with infectious etiology. Patient was treated with multilayer flow-modulating stent. Follow-up imaging showed persistent aneurysm exclusion and continuous aneurysm shrinkage of the sac until complete regression to a normal aortic configuration was seen at 1 year. During follow-up (24 months), patient continued to do well, and there was no recurrence of infection. Conclusion: Multilayer stent appeared to be an acceptable treatment option for primary infected juxtarenal aortic aneurysms. Aneurysmal sac completely disappeared and visceral branches remained patent at 2-year follow-up. However, longer follow-up is necessary to evaluate the long-term patency of involved visceral arteries.