Successful treatment of multiple mycotic aortic aneurysms, using a hybrid procedure

• Published in: Journal of vascular surgery 2010-06, Vol.51 (6), p.1521-1524
• Main Authors: Iida, Yasunori, MD, PhD, Obitsu, Yukio, MD, PhD, Yokoi, Yoshihiko, MD, Komai, Hiroyoshi, MD, PhD, Kawaguchi, Satoshi, MD, PhD, Shigematsu, Hiroshi, MD, PhD
• Format: Article
• Language: English
• Subjects: Aged; Aneurysm, Infected - diagnostic imaging; Aneurysm, Infected - microbiology; Aneurysm, Infected - surgery; Anti-Bacterial Agents - therapeutic use; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - microbiology; Aortic Aneurysm, Abdominal - surgery; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - microbiology; Aortic Aneurysm, Thoracic - surgery; Aortography - methods; Biological and medical sciences; Blood and lymphatic vessels; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - instrumentation; Cardiology. Vascular system; Diseases of the aorta; Humans; Immunocompromised Host; Male; Medical sciences; Prosthesis Design; Stents; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tomography, X-Ray Computed; Treatment Outcome; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2010.01.053

No generally accepted treatment of multiple mycotic aortic aneurysms of the thoracic and abdominal aorta has yet been established. We report a 67-year-old man with widespread mycotic aortic aneurysms previously treated for malignant lymphoma and interstitial pneumonia. He was successfully treated by a two-stage hybrid surgical procedure comprising open and endovascular methods. This is apparently the first report of repair of multiple mycotic aortic aneurysms using a hybrid procedure.