Successful Endoluminal Repair of an Infected Thoracic Pseudoaneurysm Caused by Methicillin-Resistant Staphylococcus Aureus

• Published in: Journal of endovascular therapy 2003-02, Vol.10 (1), p.29-32
• Main Authors: Bell, Rachel E., Taylor, Peter R., Aukett, Marion, Evans, George H., Reidy, John F.
• Format: Article
• Language: English
• Subjects: Aged; Aneurysm, False - diagnostic imaging; Aneurysm, False - microbiology; Aneurysm, False - surgery; Aneurysm, Infected - diagnostic imaging; Aneurysm, Infected - microbiology; Aneurysm, Infected - surgery; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - microbiology; Aortic Aneurysm, Thoracic - surgery; Blood Vessel Prosthesis Implantation; Humans; Male; Methicillin Resistance; Staphylococcal Infections - complications; Stents; Tomography, X-Ray Computed
• ISSN: 1526-6028; 1545-1550
• DOI: 10.1177/152660280301000107

Purpose: To report the successful endoluminal repair of an infected thoracic aneurysm secondary to methicillin-resistant Staphylococcus aureus (MRSA). Case Report: A 76-year-old man presented with an infected thoracic pseudoaneurysm 9 weeks after an elective infrarenal aneurysm repair. Blood cultures were positive for MRSA. Computed tomography (CT) showed an 11.5-cm false aneurysm of the descending thoracic aorta just proximal to the celiac axis. An Excluder stent-graft was used to successfully repair the lesion. Recovery was uneventful, and the patient was treated with linezolid for 6 weeks. Follow-up CT scans at 3 and 12 months confirmed exclusion of the aneurysm and progressive shrinkage of the aneurysm sac with no evidence of graft infection. Conclusions: Endoluminal repair is an alternative to open surgery for the treatment of infected aneurysms of the thoracic aorta.