AI Article Synopsis
- An 81-year-old woman with a ruptured mycotic thoracic aortic aneurysm underwent endovascular stent-graft placement, which initially excluded the aneurysm.
- A type I endoleak was discovered the next day, leading to an emergency surgical resection and reconstruction of the aneurysm.
- Unfortunately, the patient passed away two days later, suggesting that stent-graft repair may be ineffective for treating ruptured mycotic aneurysms in infected cases.
Article Abstract
An 81-year-old woman with ruptured mycotic thoracic aortic aneurysm was treated with endovascular placement of stent-grafts fabricated from expanded polytetrafluoroethylene and Z-stents. Although exclusion of the aneurysm was achieved at the end of the procedure, a type I endoleak developed on the following day. Despite emergent surgical resection of the aneurysm and extra-anatomical reconstruction, the patient died 2 days later. Stent-graft repair may not be a suitable method for the treatment of ruptured mycotic aneurysm in the presence of active infection.
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| http://dx.doi.org/10.1007/s00270-001-0102-y | DOI Listing |
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