Endovascular repair of a tuberculous mycotic thoracic aortic aneurysm with a custom-made device

• Published in: Journal of vascular surgery 2010-05, Vol.51 (5), p.1272-1275
• Main Authors: Clough, Rachel E., MB, BS, BSc, MRCS, Topple, Jane A., MB, BS, Zayed, Hany A., MD, MSc, FRCS, Lyons, Oliver T., MB, BS, BSc, MRCS, Carrell, Tom W., MA, MChir, FRCS, Taylor, Peter R., MA, MChir, FRCS
• Format: Article
• Language: English
• Subjects: Aneurysm, Infected - diagnosis; Aneurysm, Infected - surgery; Angiography - methods; Angioplasty - instrumentation; Angioplasty - methods; Antitubercular Agents - therapeutic use; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Combined Modality Therapy; Contrast Media; Diseases of the aorta; Female; Follow-Up Studies; Humans; Medical sciences; Middle Aged; Mycobacterium tuberculosis - isolation & purification; Preoperative Care; Prosthesis Design; Risk Assessment; Stents; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tomography, X-Ray Computed; Treatment Outcome; Tuberculosis - diagnosis; Tuberculosis - drug therapy; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2009.12.047

Mycotic aortic aneurysms are rare and it is unlikely that any center will obtain extensive experience in their management. The aim of treatment is to repair the aorta and eradicate the infection with minimal operative and postoperative risk. We describe a case in which a custom-made endovascular stent graft provided the optimal treatment strategy and remained durable at 4 years of follow-up.