Successful endovascular treatment of mycotic aneurysms of the inferior mesenteric artery and the abdominal aorta.

Aim: To report a case of successful endovascular treatment of mycotic aneurysms of the inferior mesenteric artery and the aorta.

Case Report: Infrarenal aortitis in a 55-year-old multimorbid man resulted in formation of two mycotic aneurysms, one in the infrarenal aorta and the other in the inferior mesenteric artery. The patient was treated with a bifurcated aortic endograft. Antibiotic therapy was continued postoperatively for one year. Shrinkage of both aneurysms was obtained with no signs of infection or endoleaks at five year follow-up.

Conclusion: Aortic endografting combined with long-term antibiotic treatment may be considered as a treatment option in similar cases.