Document Detail


Stent-graft repair of a mycotic ascending aortic pseudoaneurysm.
MedLine Citation:
PMID:  17142713     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 75-year-old woman with a history of coronary artery bypass surgery complicated by mediastinitis presented with hemoptysis and fever. An enlarging pseudoaneurysm of the ascending aorta was found on computed tomography (CT) and magnetic resonance imaging. After a bypass graft procedure for cerebral and cardiac protection, two endoprosthetic cuffs, which are normally used for proximal abdominal aortic stent-graft extension, were positioned over the pseudoaneurysm neck via right carotid artery access. Blood cultures revealed methicillin-sensitive Staphylococcus aureus, and antibiotic therapy was continued for 6 weeks. Follow-up CT images demonstrated exclusion of the pseudoaneurysm with decrease in size over time. Endovascular stent-graft placement combined with antibiotic therapy may offer an alternative to surgery for the management of mycotic ascending aortic pseudoaneurysm.
Authors:
Sam Heye; Kim Daenens; Geert Maleux; Andre Nevelsteen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  17     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-12-04     Completed Date:  2007-03-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1821-5     Citation Subset:  IM    
Affiliation:
Departments of Radiology, Center for Vascular Diseases, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium. sam.heye@uz.kuleuven.ac.be
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / radiography,  surgery*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Coronary Artery Bypass
Female
Hemoptysis / etiology,  surgery
Humans
Magnetic Resonance Angiography
Stents
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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