Endovascular Repair of an Acute, Mycotic, Ascending Aortic Pseudoaneurysm

被引:18
作者
Vaughan-Huxley, E. [1 ]
Hamady, M. S. [2 ]
Metcalfe, M. J. [1 ]
Adams, B. [1 ]
Kashef, E. [2 ]
Cheshire, N. J. W. [1 ,3 ]
Bicknell, C. D. [1 ,3 ]
机构
[1] Imperial Coll NHS Trust, Dept Vasc Surg, London W2 1NY, England
[2] Imperial Coll NHS Trust, Dept Intervent Radiol, London W2 1NY, England
[3] Univ London Imperial Coll Sci Technol & Med, Dept Biosurg & Surg Technol, London, England
关键词
Ascending aorta; Mycotic aneurysm; Pseudoaneurysm; Endovascular stenting;
D O I
10.1016/j.ejvs.2010.12.004
中图分类号
R61 [外科手术学];
学科分类号
摘要
This report describes endovascular stenting of an acute mycotic ascending aortic aneurysm. An eighty-three year old lady presented nine weeks after aortic valve surgery and subsequent thyroidectomy with sternal pain secondary to a mycotic ascending aortic pseudoaneurysm. The pseudoaneurysm was visible-through the unhealed sternum. Open repair was considered too high a mortality risk. Endovascular stenting was performed using two covered infrarenal proximal extension devices (GORE Excluder Aortic Extender, W. L. Gore Et Associates, Flagstaff, Arizona, USA) deployed from a right axillary approach utilising overdrive cardiac pacing. Post procedure imaging revealed shrinkage of the pseudoaneurysm sac. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:488 / 491
页数:4
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