Journal «Angiology and Vascular Surgery» • 

2016 • VOLUME 22 • №1

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

Vakhitov D.1, Suominen V.1, Korhonen J.2, Kuorilehto T.3, Salenius J.P.1

1) Division of Vascular Surgery, Department of Surgery, Tampere University Hospital, Tampere,
2) Division of Interventional Radiology, Department of Radiology, Tampere University Hospital, Tampere,
3) Department of Surgery, Kanta-Häme Central Hospital, Hämeenlinna, Finland

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.

KEY WORDS: mycotic aneurysm, inferior mesenteric artery, endovascular treatment of the mycotic aneurysm.

P. 86-88

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