Endovascular Treatment of a Late False Aneurysm Complicating Open Suprarenal Mycotic Aneurysm Repair with a Cryopreserved Aortic Homograft

Autor: Tina Tomić Mahečić, Mladen Petrunić, Damir Halužan, Tomislav Meštrović, Dražen Perkov
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Computed Tomography Angiography
medicine.medical_treatment
030204 cardiovascular system & hematology
Anastomosis
Aortography
030218 nuclear medicine & medical imaging
03 medical and health sciences
Aortic aneurysm
Blood Vessel Prosthesis Implantation
0302 clinical medicine
Aneurysm
Multidetector Computed Tomography
medicine
Humans
cardiovascular diseases
Endovascular treatment
Aorta
Aged
Bioprosthesis
Cryopreservation
medicine.diagnostic_test
business.industry
Endovascular Procedures
Stent
General Medicine
Mycotic aneurysm
medicine.disease
Allografts
Surgery
Aortic Aneurysm
Blood Vessel Prosthesis
surgical procedures
operative

Treatment Outcome
Angiography
cardiovascular system
Stents
Cardiology and Cardiovascular Medicine
business
Aneurysm
Infected

Aneurysm
False
Zdroj: Annals of vascular surgery. 56
ISSN: 1615-5947
Popis: We report a patient who was initially treated for a suprarenal mycotic aortic aneurysm. The aneurysm repair was performed using a cryopreserved arterial homograft and debranching of visceral arteries. Five years later, the patient was referred due to a large symptomatic false aneurysm at the distal homograft anastomosis. Endovascular repair was indicated and performed using a bifurcated Medtronic composite stent graft. The procedure was uneventful, while control angiography showed complete exclusion of the false aneurysm. Within 6 months of follow-up, the endograft showed favorable position and maintained patency with no signs of endoleaks. We discuss the role of the cryopreserved homografts for in situ repair of mycotic aortic aneurysms and comment on possible late complications after placing those grafts.
Databáze: OpenAIRE