Progressive Mycotic Celiac Artery Aneurysm Associated With Coagulase-Negative Staphylococcal Prosthetic Valve Endocarditis

Tanaka, Makoto; Kohno, Takashi; Obara, Hideaki; Nakatsuka, Seishi; Nishiyama, Takahiko; Nishiyama, Nobuhiro; Tsuruta, Hikaru; Murata, Mitsushige; Maekawa, Yuichiro; Yoshitake, Akihiro; Sano, Motoaki; Shimizu, Hideyuki; Fukuda, Keiichi

doi:10.1253/circj.cj-17-0937

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…The appropriate treatment approach is based only on the anatomy and location of the aneurysm, the urgency of intervention (ruptured or symptomatic), and the patient's comorbidities. Occlusion of the celiac artery by coil embolization as treatment for CAA is effective, with less risk of organ ischemia, and may be indicated, especially for patients at high risk for open surgery [63,64]. However, EVT is not applicable if the aneurysm involves the origin of the celiac artery, as there is no seal zone for a stent graft or a proximal space for coils.…”

Section: Celiac Artery Aneurysmsmentioning

confidence: 99%

Current management strategies for visceral artery aneurysms: an overview

et al. 2019

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Visceral artery aneurysms (VAAs) are rare and affect the celiac artery, superior mesenteric artery, and inferior mesenteric artery, and their branches. The natural history of VAAs is not well understood as they are often asymptomatic and found incidentally; however, they carry a risk of rupture that can result in death from hemorrhage in the peritoneal cavity, retroperitoneal space, or gastrointestinal tract. Recent advances in imaging technology and its availability allow us to diagnose all types of VAA. VAAs can be treated by open surgery, laparoscopic surgery, endovascular therapy, or a hybrid approach. However, there are still no specific indications for the treatment of VAAs, and the best strategy depends on the anatomical location of the aneurysm as well as the clinical presentation of the patient. This article reviews the literature on the etiology, clinical features, diagnosis, and anatomic characteristics of each type of VAA and discusses the current options for their treatment and management.

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Section: Celiac Artery Aneurysmsmentioning

confidence: 99%

Current management strategies for visceral artery aneurysms: an overview

et al. 2019

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“…This illustrates that in patients with poor underlying conditions who cannot tolerate surgical management, symptomatic treatment with antibiotics alone is a therapeutic option without an indication for emergency surgery. With the continuous development of interventional methods, endovascular techniques provide an interim safeguard or therapeutic option for patients unable to undergo open surgery [11,12].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Infective Aneurysm of Mesenteric Artery Due to Infective Endocarditis: Diagnosis and Treatment

Wu,

Miao,

2024

HSF

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The infected aneurysm is a rare disease; antibiotic therapy combined with surgical treatment is the most common treatment currently available after computed tomography (CT) imaging and blood culture confirmation. We herein report a case of a 25-year-old male with infective endocarditis that caused an infective aneurysm of the mesenteric artery. We hope to help with the diagnosis and treatment of similar patients.

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“…10 Moreover, several cases of celiac, hepatic, splenic, or renal mycotic aneurysm successfully treated by endovascular therapy have been reported. 11–13 A past report suggested that unruptured mycotic aneurysm could be adequately managed by first initiating long-term antibiotics, followed by endovascular therapy to minimize recurrent infection. 14 Our patients underwent long-term antibiotic therapy before TAE was performed because mycotic aneurysms were initially detected on CT around 4 weeks after diagnosis of infective endocarditis.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

et al. 2019

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Purpose: To report 3 patients with infective endocarditis who underwent transcatheter arterial embolization for mycotic aneurysm of the distal superior mesenteric artery (SMA). Case Report: Three men (60, 64, and 65 years old) were diagnosed with infective endocarditis. Antibiotics were initiated immediately after admission and continued for several weeks to months. Distal SMA mycotic aneurysm was identified on computed tomography in the vicinity of the ileocolic artery at 33, 26, and 30 days after admission. In case 1, the ileal artery was occluded distal to the aneurysm, with collateral flow to the ileum. In case 2, the mycotic aneurysm was located below the ileocolic artery, which was stenosed distal to the lesion. In case 3, the aneurysm was located on a branch of the ileal artery. Transarterial embolization using microcoils was successfully performed in all patients. No complications associated with embolotherapy or relapse of infection were observed in these 3 patients at 60, 30, and 15 months, respectively. Conclusion: Transcatheter arterial embolization for distal SMA mycotic aneurysm could provide an alternative to open surgery. Anatomical assessment of collateral flow and preprocedure long-term antibiotic therapy could play important roles in preventing bowel ischemia and minimizing the risk of infection relapse.

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Progressive Mycotic Celiac Artery Aneurysm Associated With Coagulase-Negative Staphylococcal Prosthetic Valve Endocarditis

Cited by 5 publications

References 5 publications

Current management strategies for visceral artery aneurysms: an overview

Current management strategies for visceral artery aneurysms: an overview

A Rare Case of Infective Aneurysm of Mesenteric Artery Due to Infective Endocarditis: Diagnosis and Treatment

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

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