Subscribe to RSS
DOI: 10.1055/a-2640-0683
Successful Endovascular Treatment for Ruptured Atypical Aortoiliac Mycotic Aneurysm Cause from Vibrio cholerae: A Case Report
Funding None.

Abstract
Mycotic aneurysms, a rare condition (0.6–1.3% incidence), pose significant mortality risks if untreated, even with surgical intervention. Diagnosis challenges arise from nonspecific presentations. An integrated approach involving clinical suspicion, examinations, inflammatory markers, blood culture, and imaging is crucial. While emerging endovascular treatments exist, conventional methods like surgical resection remain pivotal. This report highlights a unique case—a ruptured infected aortoiliac aneurysm caused by Vibrio cholerae—successfully treated with an endovascular strategy. The patient demonstrated favorable outcomes during a 17-month follow-up period.
Keywords
endovascular repair - abdominal aortic aneurysm - mycotic aneurysm - endovascular procedure - infection - endograft placement - iliac arteryPublication History
Article published online:
07 July 2025
© 2025. International College of Angiology. This article is published by Thieme.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Hsu RB, Lin FY. Infected aneurysm of the thoracic aorta. J Vasc Surg 2008; 47 (02) 270-276
- 2 Koganti D, Ryan SP, Kwon J, Abai B, Dimuzio PJ, Salvatore DM. Atypical mycotic aortic aneurysms. Ann Vasc Surg 2016; 36: 296.e13-296.e18
- 3 Sessa C, Farah I, Voirin L, Magne JL, Brion JP, Guidicelli H. Infected aneurysms of the infrarenal abdominal aorta: diagnostic criteria and therapeutic strategy. Ann Vasc Surg 1997; 11 (05) 453-463
- 4 Cartery C, Astudillo L, Deelchand A. et al. Abdominal infectious aortitis caused by Streptococcus pneumoniae: a case report and literature review. Ann Vasc Surg 2011; 25 (02) 266.e9-266.e16
- 5 Bronze MS, Shirwany A, Corbett C, Schaberg DR. Infectious aortitis: an uncommon manifestation of infection with Streptococcus pneumoniae . Am J Med 1999; 107 (06) 627-630
- 6 Kritpracha B, Premprabha D, Sungsiri J, Tantarattanapong W, Rookkapan S, Juntarapatin P. Endovascular therapy for infected aortic aneurysms. J Vasc Surg 2011; 54 (05) 1259-1265 , discussion 1265
- 7 Gomes MN, Choyke PL, Wallace RB. Infected aortic aneurysms. A changing entity. Ann Surg 1992; 215 (05) 435-442
- 8 Gornik HL, Creager MA. Aortitis. Circulation 2008; 117 (23) 3039-3051
- 9 Brown SL, Busuttil RW, Baker JD, Machleder HI, Moore WS, Barker WF. Bacteriologic and surgical determinants of survival in patients with mycotic aneurysms. J Vasc Surg 1984; 1 (04) 541-547
- 10 Li HL, Kwan KJS, Chan YC, Cheng SW. Contemporary outcomes of endovascular and open surgical repair for mycotic aortic aneurysms: a systematic review. Ann Vasc Surg 2024; 100: 172-183