Treatment of a Ruptured Thoracoabdominal Aneurysm with a Stent-Graft Covering the Celiac Axis

Purpose: To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis. Case Report: A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured...

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Bibliographic Details
Published in:Journal of endovascular therapy 2006-12, Vol.13 (6), p.770-774
Main Authors: Jorna, Francisca H., Verhoeven, Eric L.G., Bos, Wendy T.J.G., Prins, Ted R., Dol, Johan A., Reijnen, Michel M.P.J.
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Aged
Aneurysm, Infected - complications
Aneurysm, Infected - diagnostic imaging
Aneurysm, Infected - therapy
Aneurysms
Angiography
Angioplasty, Balloon - methods
Anti-Bacterial Agents - therapeutic use
Antibiotics, Antitubercular
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - therapy
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - therapy
Aortic Rupture - complications
Aortic Rupture - diagnostic imaging
Aortic Rupture - therapy
Blood Vessel Prosthesis Implantation - methods
Celiac Artery
Diarrhea - etiology
Emergencies
Fatigue - etiology
Female
Fever - etiology
Humans
Intensive care
Patient Selection
Prosthesis Design
Rifampin
Stents
Streptococcus infections
Tomography, X-Ray Computed
Treatment Outcome
Veins & arteries
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Summary:Purpose: To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis. Case Report: A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured mycotic TAAA extending to the celiac axis. The aneurysm was excluded with a stent-graft soaked in rifampicin and deployed to deliberately occlude the celiac axis for effective distal sealing and fixation. The patient recovered well and was prescribed antibiotic treatment for up to 6 months. Conclusion: Endovascular repair of a ruptured TAAA may be a life-saving option. In emergency situations when poor distal anatomy is present, covering the celiac artery with the stent-graft should be considered.
ISSN:1526-6028
1545-1550
DOI:10.1583/06-1903.1