Stent - Graft Placement for Mycotic Aneurysm of the Thoracic Aorta: Report of a Case
A 66-year-old man was found to have a mycotic aneurysm of the thoracic aorta. It was first suspected to be a pseudoaneurysm of the descending thoracic aorta on computed tomography scan, and the blood cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA). It was subsequently d...
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| Veröffentlicht in: | Circulation Journal 2004, Vol.68(1), pp.88-90 |
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| container_title | Circulation Journal |
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| creator | Nishimoto, Masayoshi Hasegawa, Shigeto Asada, Kunio Tsunemi, Kotaro Sasaki, Shinjiro |
| description | A 66-year-old man was found to have a mycotic aneurysm of the thoracic aorta. It was first suspected to be a pseudoaneurysm of the descending thoracic aorta on computed tomography scan, and the blood cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA). It was subsequently diagnosed as a mycotic aneurysm, but because the patient continued to do so poorly with septicemia, conventional surgery (ie, aortic exclusion and extraanatomic bypass, or surgical placement of in situ graft) was not performed. A stent - graft device composed of several units of self-expandable Z stents covered with ultra-thin woven Dacron was inserted through 21F sheath via the left external iliac artery and aortography showed successful deployment without blood endoleaks. The procedure was completed without incident and the patient has continued to do well. Endovascular stent - grafts may offer significant advantages for patients at high surgical risk. (Circ J 2004; 68: 88 - 90) |
| doi_str_mv | 10.1253/circj.68.88 |
| format | Article |
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It was first suspected to be a pseudoaneurysm of the descending thoracic aorta on computed tomography scan, and the blood cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA). It was subsequently diagnosed as a mycotic aneurysm, but because the patient continued to do so poorly with septicemia, conventional surgery (ie, aortic exclusion and extraanatomic bypass, or surgical placement of in situ graft) was not performed. A stent - graft device composed of several units of self-expandable Z stents covered with ultra-thin woven Dacron was inserted through 21F sheath via the left external iliac artery and aortography showed successful deployment without blood endoleaks. The procedure was completed without incident and the patient has continued to do well. Endovascular stent - grafts may offer significant advantages for patients at high surgical risk. 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It was first suspected to be a pseudoaneurysm of the descending thoracic aorta on computed tomography scan, and the blood cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA). It was subsequently diagnosed as a mycotic aneurysm, but because the patient continued to do so poorly with septicemia, conventional surgery (ie, aortic exclusion and extraanatomic bypass, or surgical placement of in situ graft) was not performed. A stent - graft device composed of several units of self-expandable Z stents covered with ultra-thin woven Dacron was inserted through 21F sheath via the left external iliac artery and aortography showed successful deployment without blood endoleaks. The procedure was completed without incident and the patient has continued to do well. Endovascular stent - grafts may offer significant advantages for patients at high surgical risk. (Circ J 2004; 68: 88 - 90)</description><subject>Aged</subject><subject>Aorta</subject><subject>Aortic Aneurysm, Thoracic - diagnostic imaging</subject><subject>Aortic Aneurysm, Thoracic - microbiology</subject><subject>Endovascular stent grafts</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Male</subject><subject>Mycoses - complications</subject><subject>Mycotic aneurysm</subject><subject>Radiography, Thoracic</subject><subject>Stents</subject><subject>Tomography, X-Ray Computed</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAQhi0EolCY2JEnFpTiz8TZKBUUpCKQKLPlODZNldTFdob-e5KmotLp7nT36BleAG4wmmDC6YOuvF5PUjER4gRcYMqyhAmCTvd7muSC0RG4DGGNEMkRz8_BCLM05yyjF-DpK5pNhAmce2Uj_KyVNk1_sc7D9512sdJwujGt34UGOgvjysDlynml-4fzUV2BM6vqYK4Pcwy-X56Xs9dk8TF_m00XiWaMx4RxjXRpu6I5TzNkS8qYthyRQnFFNDPEEoyVyMvUcmJ1USpdFAzxlOSFInQM7gbv1rvf1oQomypoU9dqY1wbpEAo6wQ9eD-A2rsQvLFy66tG-Z3ESPaRyX1kMhVSiI6-PWjbojHlkT1k1AGPA7AOUf2Yf0D5LpvaHGV4aEIcXyvlpdnQP1_kf0U</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Nishimoto, Masayoshi</creator><creator>Hasegawa, Shigeto</creator><creator>Asada, Kunio</creator><creator>Tsunemi, Kotaro</creator><creator>Sasaki, Shinjiro</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>Stent - Graft Placement for Mycotic Aneurysm of the Thoracic Aorta</title><author>Nishimoto, Masayoshi ; Hasegawa, Shigeto ; Asada, Kunio ; Tsunemi, Kotaro ; Sasaki, Shinjiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-45c0cdfcdf395670fd344cf502ba5a2c4e2f211a89d6f52fcbdacbb405629ba23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aorta</topic><topic>Aortic Aneurysm, Thoracic - diagnostic imaging</topic><topic>Aortic Aneurysm, Thoracic - microbiology</topic><topic>Endovascular stent grafts</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Male</topic><topic>Mycoses - complications</topic><topic>Mycotic aneurysm</topic><topic>Radiography, Thoracic</topic><topic>Stents</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishimoto, Masayoshi</creatorcontrib><creatorcontrib>Hasegawa, Shigeto</creatorcontrib><creatorcontrib>Asada, Kunio</creatorcontrib><creatorcontrib>Tsunemi, Kotaro</creatorcontrib><creatorcontrib>Sasaki, Shinjiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishimoto, Masayoshi</au><au>Hasegawa, Shigeto</au><au>Asada, Kunio</au><au>Tsunemi, Kotaro</au><au>Sasaki, Shinjiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stent - Graft Placement for Mycotic Aneurysm of the Thoracic Aorta: Report of a Case</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2004</date><risdate>2004</risdate><volume>68</volume><issue>1</issue><spage>88</spage><epage>90</epage><pages>88-90</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>A 66-year-old man was found to have a mycotic aneurysm of the thoracic aorta. It was first suspected to be a pseudoaneurysm of the descending thoracic aorta on computed tomography scan, and the blood cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA). It was subsequently diagnosed as a mycotic aneurysm, but because the patient continued to do so poorly with septicemia, conventional surgery (ie, aortic exclusion and extraanatomic bypass, or surgical placement of in situ graft) was not performed. A stent - graft device composed of several units of self-expandable Z stents covered with ultra-thin woven Dacron was inserted through 21F sheath via the left external iliac artery and aortography showed successful deployment without blood endoleaks. The procedure was completed without incident and the patient has continued to do well. Endovascular stent - grafts may offer significant advantages for patients at high surgical risk. 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| ispartof | Circulation Journal, 2004, Vol.68(1), pp.88-90 |
| issn | 1346-9843 1347-4820 |
| language | eng |
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| source | J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aorta Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - microbiology Endovascular stent grafts Equipment Design Humans Male Mycoses - complications Mycotic aneurysm Radiography, Thoracic Stents Tomography, X-Ray Computed |
| title | Stent - Graft Placement for Mycotic Aneurysm of the Thoracic Aorta: Report of a Case |
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