Iliac Extension Trimming, Resheathing, and Deployment for Emergent Repair of Abdominal Aortic Pseudoaneurysm

CONTEXT: Primary aortoenteric fistulas usually result from erosion of the bowel wall due to an associated abdominal aortic aneurysm. A few patients have been described with other etiologies such as pseudoaneurysm originating from septic aortitis caused by Salmonella. OBJECTIVE: To present a rare clinical case of pseudoaneurysm caused by septic aortitis that evolved into an aortoenteric fistula. CASE REPORT: A 65-year-old woman was admitted with Salmonella bacteremia that evolved to septic aortitis. An aortic pseudoaneurysm secondary to the aortitis had eroded the transition between duodenum and jejunum, and an aortoenteric fistula was formed. In the operating room, the affected aorta and intestinal area were excised and an intestine-to-intestine anastomosis was performed. The aorta was sutured and an axillofemoral bypass was carried out. In the intensive care unit, the patient had a cardiac arrest that evolved to death.

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A Case of Abdominal Aortic Pseudoaneurysm That Was Treated with Inserting an Endovascular Stent Graft in a Patient with Behcet's Disease

The Journal of the Korean Rheumatism Association ◽

10.4078/jkra.2010.17.1.71 ◽

2010 ◽

Vol 17 (1) ◽

pp. 71

Author(s):

Kyung-Min Son ◽

In-Je Kim ◽

Hyun-Ah Kim ◽

Eui-Yong Jeon ◽

Young-Il Seo

Keyword(s):

Behçet’S Disease ◽

Stent Graft ◽

Behcet’S Disease ◽

Behçet's Disease ◽

Endovascular Stent ◽

Endovascular Stent Graft ◽

Behcet's Disease ◽

Aortic Pseudoaneurysm ◽

Abdominal Aortic

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Use of an AFX aortic cuff in the endovascular treatment of aortocaval fistula secondary to abdominal aortic pseudoaneurysm

Catheterization and Cardiovascular Interventions ◽

10.1002/ccd.27830 ◽

2018 ◽

Vol 92 (7) ◽

pp. 1352-1355

Author(s):

Wassim Shatila ◽

Zvonimir Krajcer

Keyword(s):

Endovascular Treatment ◽

Aortocaval Fistula ◽

Aortic Pseudoaneurysm ◽

Abdominal Aortic ◽

Aortic Cuff

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Tuberculous abdominal aortic pseudoaneurysm with renal and vertebral tuberculosis: a case and literature review

The Journal of Infection in Developing Countries ◽

10.3855/jidc.4954 ◽

2014 ◽

Vol 8 (09) ◽

pp. 1216-1221 ◽

Cited By ~ 8

Author(s):

Chao Zhang ◽

Bing Chen ◽

Yongquan Gu ◽

Tao Luo ◽

Shengjia Yang ◽

...

Keyword(s):

High Risk ◽

Literature Review ◽

Antibiotic Therapy ◽

Endovascular Repair ◽

Postoperative Course ◽

Aortic Pseudoaneurysm ◽

Abdominal Aortic ◽

Very High

Tuberculous pseudoaneurysm of the aorta is rare and exposes patients to a very high risk of unpredictable rupture. To our best knowledge, only 32 cases have been reported related to all arterial systems from 1993 to 2013 in the literature. We report a 44-year-old male who presented with an aortic pseudoaneurysm and tuberculosis of the kidney and vertebrae. He underwent endovascular repair and antibiotic therapy for tuberculosis, combined with a bare stent implanted to seal endoleaks after endograft stenting. The postoperative course was uneventful and the patient recovered and lived well afterwards. Epidemiology, pathogenesis, presentation, management, and mortality of this entity were reviewed and discussed.

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