Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine

Abstract

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Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy

“…Since 1988, 51 cases of a mycotic AAA attributable to BCG therapy have been reported. 4 , 5 , 8 , 10 , 11 , 12 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 In our patient, infectious aortitis had progressed rapidly, and a saccular AAA or pseudoaneurysm had developed within 2 months after BCG therapy. In hindsight, a follow-up CT scan should have been performed sooner to monitor for any aneurysmal changes.…”

“…To the best of our knowledge, to date, 20 patients (including our patient) with a mycotic aortoiliac aneurysm who had undergone EVAR after BCG therapy have been reported ( Table ). 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 All 20 patients were men, and their mean age at diagnosis was 71 years (range, 57-82 years). The aneurysms had been diagnosed at a mean interval of 19 months (range, 0-69 months) after BCG therapy.…”