Case Presentation: Mycotic Aortic Aneurysm and Psoas Abscess as a Complication of Bacillus Calmette-Guérin Instillations

Abstract Background Mycotic aortic aneurysm is a rare and potentially life-threatening lesion, and endovascular repair has become increasingly accepted for intervention. Fenestrated endografts are available options to treat aneurysms involving visceral arteries. Here, we first report two patients with mycotic aortic aneurysm involving paraviscereal aorta who were successfully treated with custom-made fenestrated endograft. Case presentation Two patients were presented with mycotic aortic aneurysm. Due to their comorbidities and the involvement of the renal arteries, company-manufactured fenestrated stents were designed. Meanwhile, antibiotic therapy was administrated for 2 months before endovascular repair. Patients improved well without complications. Conclusions Custom-made fenestrated endovascular stent is an effective and feasible alternative solution to mycotic paravisceral aorta aneurysm.

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A 60-year-old woman with asymptomatic total thoracic–abdominal aortic aneurysm

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01600-0 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Jianying Deng ◽

Wei Liu

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Effective Treatment ◽

Clinical Symptoms ◽

Aortic Aneurysms ◽

Case Presentation ◽

Second Stage ◽

Aortic Replacement ◽

Abdominal Aortic ◽

Thoracoabdominal Aortic Replacement

Abstract Introduction Total thoracic–abdominal aortic aneurysm is a rare disease in cardiovascular surgery, with high surgical risk and high mortality. Surgery is considered the most effective treatment for total aortic aneurysms. Case presentation Our group admitted a 60-year-old female patients with asymptomatic complex total thoracic–abdominal aortic aneurysm, and successfully performed two-staged surgery, namely Bentall + Sun’s operation in the first-stage and thoracoabdominal aortic replacement in the second-stage. The results of the surgery were satisfactory. Conclusions Patients with total thoracic–abdominal aortic aneurysm may not have typical clinical symptoms and require a careful and comprehensive physical examination and related auxiliary examinations by clinicians. Staged repair of total thoracic–abdominal aortic aneurysms is still a safe and effective treatment.

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Infected aortic aneurysm and vertebral osteomyelitis after intravesical bacillus Calmette-Guérin therapy.

American Journal of Roentgenology ◽

10.2214/ajr.167.3.8751686 ◽

1996 ◽

Vol 167 (3) ◽

pp. 711-713 ◽

Cited By ~ 37

Author(s):

A Rozenblit ◽

E Wasserman ◽

M L Marin ◽

F J Veith ◽

J Cynamon ◽

...

Keyword(s):

Aortic Aneurysm ◽

Vertebral Osteomyelitis ◽

Bacillus Calmette Guerin ◽

Infected Aortic Aneurysm

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A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz288 ◽

2019 ◽

Vol 2019 (11) ◽

Author(s):

Takahiro Tokuda ◽

Mototsugu Tamaki ◽

Hideki Kitamura ◽

Yutaka Koyama ◽

Koshi Sawada ◽

...

Keyword(s):

Aortic Aneurysm ◽

Antibiotic Therapy ◽

Laboratory Data ◽

Endovascular Aneurysm Repair ◽

Severe Infection ◽

Intravenous Antibiotic ◽

Thoracic Endovascular Aneurysm Repair ◽

Descending Aortic Aneurysm ◽

Aneurysm Repair ◽

Mycotic Aortic Aneurysm

Abstract An 88-year-old man was admitted with general fatigue. Computed tomography (CT) showed a descending aortic aneurysm. The laboratory data indicated severe infection. Despite negative blood cultures, broad-spectrum intravenous antibiotic therapy was started. Though antibiotic therapy was continued for about 2 weeks, the aneurysm extended 20 mm. Thoracic endovascular aortic repair was performed, and antibiotic therapy was continued for 4 weeks after the procedure, followed by oral antibiotics for 1 year. CT showed regression of the aneurysm 15 months after reconstruction. Antibiotic therapy, preoperatively and postoperatively, is important for a mycotic aortic aneurysm.

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Pulmonary homograft repair of a mycotic aortic aneurysm in an infant

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(99)00493-2 ◽

1999 ◽

Vol 68 (1) ◽

pp. 239-241 ◽

Cited By ~ 4

Author(s):

Curt J Daniels ◽

Daniel M Cohen ◽

Luke J Lamers ◽

Khaled H Mutabagani

Keyword(s):

Aortic Aneurysm ◽

Pulmonary Homograft ◽

Mycotic Aortic Aneurysm

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Misfortune never comes singly - the first case of COVID-19 with rupture of thoracic aortic aneurysm

10.21203/rs.3.rs-19416/v1 ◽

2020 ◽

Author(s):

Kun Zhao ◽

Zhang Cao ◽

Changju Zhu ◽

Yi Zhang ◽

Feifan Chen

Keyword(s):

Aortic Aneurysm ◽

Severe Acute Respiratory Syndrome ◽

Hospital Admission ◽

Thoracic Aortic Aneurysm ◽

Warning Signs ◽

Cytokine Storm ◽

Case Presentation ◽

First Case

Abstract Background: SARS-CoV-2 is a newly discovered virus, leading COVID-19 a global threaten nowadays. Case Presentation: The first case of a patient with a thoracic aortic aneurysm (TAA) that became infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was reported here. The patient died suddenly from a ruptured aorta 19 h after hospital admission. Conclusion: COVID-19 patients with TAA should attract the highest vigilance as COVID-19 might expedite the process of TAA rupture through cytokine storm syndrome, leading to rapid death with little or no warning signs.

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