Download PDF
CC BY 4.0 · Aorta (Stamford) 2022; 10(02): 80-84
DOI: 10.1055/s-0042-1743200
Case Report

Multiple Parallel Grafts for Urgent Endovascular Repair of a Ruptured Mycotic Aortic Aneurysm

Andrea Xodo 
1   Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic Vascular Sciences and Public Health, Padua University, Padua, Italy
,
Michele Piazza
1   Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic Vascular Sciences and Public Health, Padua University, Padua, Italy
,
Jacopo Taglialavoro
1   Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic Vascular Sciences and Public Health, Padua University, Padua, Italy
,
Marco Zavatta 
1   Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic Vascular Sciences and Public Health, Padua University, Padua, Italy
,
Franco Grego
1   Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic Vascular Sciences and Public Health, Padua University, Padua, Italy
,
Michele Antonello
1   Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic Vascular Sciences and Public Health, Padua University, Padua, Italy
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

A 73-year-old woman underwent urgent endovascular repair of a ruptured mycotic aortic aneurysm. A thoracic stent graft was employed as the main endograft, while the celiac trunk and superior mesenteric artery were revascularized by the chimney technique and the renal arteries through the periscope technique. Postoperative computed tomography revealed a Type A1 gutter, treated by detachable coils and peripheral occlusion devices. Six-month follow-up revealed patency of the stent grafts, without endoleak or stent graft infection signs.

Keywords

mycotic aneurysms - parallel grafts - endoleak - coils - thoracic endografts - urgent repair - aortic rupture


Publication History

Received: 15 November 2020

Accepted: 09 September 2021

Article published online:
07 August 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Dolapoglu A, de la Cruz KI, Coselli JS. Management of a mycotic thoracoabdominal aortic aneurysm involving the celiac artery. Tex Heart Inst J 2016; 43 (06) 528-530
    CrossrefPubMedGoogle Scholar
  • 2 Mendes BC, Oderich GS. Endovascular repair of thoracoabdominal aortic aneurysm using the off-the-shelf multibranched t-Branch stent graft. J Vasc Surg 2016; 63 (05) 1394-1399.e2
    CrossrefPubMedGoogle Scholar
  • 3 Overeem SP, Boersen JT, Schuurmann RCL. et al. Classification of gutter type in parallel stenting during endovascular aortic aneurysm repair. J Vasc Surg 2017; 66 (02) 594-599
    CrossrefPubMedGoogle Scholar
  • 4 Sörelius K, Mani K, Björck M. et al; European MAA collaborators. Endovascular treatment of mycotic aortic aneurysms: a European multicenter study. Circulation 2014; 130 (24) 2136-2142
    CrossrefPubMedGoogle Scholar
  • 5 Dubois M, Daenens K, Houthoofd S, Peetermans WE, Fourneau I. Treatment of mycotic aneurysms with involvement of the abdominal aorta: single-centre experience in 44 consecutive cases. Eur J Vasc Endovasc Surg 2010; 40 (04) 450-456
    CrossrefPubMedGoogle Scholar
  • 6 Kitagawa A, Greenberg RK, Eagleton MJ, Mastracci TM. Zenith p-branch standard fenestrated endovascular graft for juxtarenal abdominal aortic aneurysms. J Vasc Surg 2013; 58 (02) 291-300
    CrossrefPubMedGoogle Scholar
  • 7 Greenberg RK, Clair D, Srivastava S. et al. Should patients with challenging anatomy be offered endovascular aneurysm repair?. J Vasc Surg 2003; 38 (05) 990-996
    CrossrefPubMedGoogle Scholar
  • 8 Menegolo M, Xodo A, Penzo M. et al. Open repair versus EVAR with parallel grafts in patients with juxtarenal abdominal aortic aneurysm excluded from fenestrated endografting. J Cardiovasc Surg (Torino) 2021; DOI: 10.23736/S0021-9509.21.11833-6.
    CrossrefPubMedGoogle Scholar
  • 9 Lachat M, Frauenfelder T, Mayer D. et al. Complete endovascular renal and visceral artery revascularization and exclusion of a ruptured type IV thoracoabdominal aortic aneurysm. J Endovasc Ther 2010; 17 (02) 216-220
    CrossrefPubMedGoogle Scholar
  • 10 Sörelius K, Budtz-Lilly J, Mani K, Wanhainen A. Systematic review of the management of mycotic aortic aneurysms. Eur J Vasc Endovasc Surg 2019; 58 (03) 426-435
    CrossrefPubMedGoogle Scholar
  • 11 Tanious A, Wooster M, Armstrong PA, Zwiebel B, Grundy S, Back MR, Shames ML. Configuration affects parallel stent grafting results. J Vasc Surg 2018; 67 (05) 1353-1359
    CrossrefPubMedGoogle Scholar