Complete regression of a symptomatic, mycotic juxtarenal abdominal aortic aneurysm after treatment with fenestrated endovascular aneurysm repair
Mycotic abdominal aortic aneurysms are rare and present unique challenges when potential treatment options are considered. Although aortic resection with in situ grafting techniques or extra-anatomic reconstruction are the treatments of choice, endovascular aortic repair has emerged as a suitable al...
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| Veröffentlicht in: | Journal of vascular surgery 2016-09, Vol.64 (3), p.803-806 |
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| container_title | Journal of vascular surgery |
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| creator | Durgin, Jonathan M., BS Arous, Edward J., MD Kumar, Shivani, BS Robinson, William P., MD Simons, Jessica P., MD, MPH Schanzer, Andres, MD |
| description | Mycotic abdominal aortic aneurysms are rare and present unique challenges when potential treatment options are considered. Although aortic resection with in situ grafting techniques or extra-anatomic reconstruction are the treatments of choice, endovascular aortic repair has emerged as a suitable alternative in critically ill patients. We report the successful endovascular repair of a symptomatic, mycotic juxtarenal aortic aneurysm using a physician-modified fenestrated endograft. In this patient, with >6 months of follow-up, the aneurysm has completely regressed, illustrating that in select patients with complex mycotic aneurysms, endovascular repair combined with appropriate medical management is a viable treatment strategy. |
| doi_str_mv | 10.1016/j.jvs.2015.10.058 |
| format | Article |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged, 80 and over Aneurysm, Infected - diagnostic imaging Aneurysm, Infected - microbiology Aneurysm, Infected - surgery Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - microbiology Aortic Aneurysm, Abdominal - surgery Aortography Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - instrumentation Computed Tomography Angiography Endovascular Procedures - instrumentation Humans Male Prosthesis Design Remission Induction Stents Surgery Time Factors Treatment Outcome |
| title | Complete regression of a symptomatic, mycotic juxtarenal abdominal aortic aneurysm after treatment with fenestrated endovascular aneurysm repair |
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