Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula

We describe the management of a woman who presented with synchronous mycotic aortic aneurysms of the aortic arch in the presence of Kommerell diverticulum, the distal thoracic, and the juxtarenal aorta. A staged stent graft repair was undertaken due to rapid expansion of the aneurysms, which involve...

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Autores principales: Chong, Debra S.T., Hamilton, Hamish, Constantinou, Jason, Davis, Meryl, Mughal, Muntzer, Ivancev, Krasnodar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849903/
https://www.ncbi.nlm.nih.gov/pubmed/31724566
http://dx.doi.org/10.1016/j.jvsc.2015.05.003
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author Chong, Debra S.T.
Hamilton, Hamish
Constantinou, Jason
Davis, Meryl
Mughal, Muntzer
Ivancev, Krasnodar
author_facet Chong, Debra S.T.
Hamilton, Hamish
Constantinou, Jason
Davis, Meryl
Mughal, Muntzer
Ivancev, Krasnodar
author_sort Chong, Debra S.T.
collection PubMed
description We describe the management of a woman who presented with synchronous mycotic aortic aneurysms of the aortic arch in the presence of Kommerell diverticulum, the distal thoracic, and the juxtarenal aorta. A staged stent graft repair was undertaken due to rapid expansion of the aneurysms, which involved placement of multiple thoracic quadruple-fenestrated and infrarenal bifurcated stent grafts. Despite complications of an aortoesophageal fistula and transitory spinal cord ischemia, she has been managed successfully and is doing well at 36 months. This case illustrates that stent graft repair of mycotic aneurysms can offer a successful treatment option in selected patients.
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spelling pubmed-68499032019-11-13 Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula Chong, Debra S.T. Hamilton, Hamish Constantinou, Jason Davis, Meryl Mughal, Muntzer Ivancev, Krasnodar J Vasc Surg Cases Article We describe the management of a woman who presented with synchronous mycotic aortic aneurysms of the aortic arch in the presence of Kommerell diverticulum, the distal thoracic, and the juxtarenal aorta. A staged stent graft repair was undertaken due to rapid expansion of the aneurysms, which involved placement of multiple thoracic quadruple-fenestrated and infrarenal bifurcated stent grafts. Despite complications of an aortoesophageal fistula and transitory spinal cord ischemia, she has been managed successfully and is doing well at 36 months. This case illustrates that stent graft repair of mycotic aneurysms can offer a successful treatment option in selected patients. Elsevier 2015-08-05 /pmc/articles/PMC6849903/ /pubmed/31724566 http://dx.doi.org/10.1016/j.jvsc.2015.05.003 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Chong, Debra S.T.
Hamilton, Hamish
Constantinou, Jason
Davis, Meryl
Mughal, Muntzer
Ivancev, Krasnodar
Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula
title Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula
title_full Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula
title_fullStr Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula
title_full_unstemmed Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula
title_short Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula
title_sort successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of kommerell diverticulum and complicated by aortoesophageal fistula
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849903/
https://www.ncbi.nlm.nih.gov/pubmed/31724566
http://dx.doi.org/10.1016/j.jvsc.2015.05.003
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