Mycotic Aneurysms of the Thoracic Aorta: Repair with Use of Endovascular Stent-Grafts

Aortitis

“…1,60 -62,92-94 Small case series, each with no more than a few cases, have combined medical and endovascular management of mycotic aneurysm. [95][96][97][98] Despite aggressive therapy, mortality associated with infectious aortitis remains high in reported series, largely owing to a high rate of aortic rupture. 1,59,61,62,93,94 Although no clinical studies have established the optimal duration of antibiotic therapy for aortitis, a treatment course of at least 6 to 12 weeks after surgical debridement and clearance of blood cultures is generally recommended, with a longer course reserved for patients with immunosuppressive disorders.…”

Stent - Graft Placement for Mycotic Aneurysm of the Thoracic Aorta-Report of a Case-

“…[2][3][4][5] Because of the fear of infection, stent-grafting for an infected aneurysm is not a routine therapeutic alternative at present, but is an option for difficult clinical cases. Semba reported good results in 3 cases of mycotic aneurysm treated by stent-grafting, 15 and although endovascular stent -grafting has the disadvantage that removal of infected tissue is impossible, he suggested that combined with antibiotic therapy it is an alternative to conventional thoracotomy in managing mycotic aneurysms of the descending thoracic aorta. However, careful postoperative follow-up and infection control are required.…”

Infected Aortic Aneurysms

“…Since the first report by Semba et al [96], an increasing number of investigations on endovascular technique utilization in infected aortic aneurysm management, including one European multicenter study published in 2014 [15, 18, 42, 70-74, 97, 98], was noted. The general principle and considerations of endovascular treatment for infected aortic aneurysms are identical to those for noninfected aortic aneurysms, including consideration of the characteristics of each device, arterial access route assessment (usually the iliac and femoral artery), anatomical characteristics of the aneurysm, and proximal and distal sealing zones.…”