Custom-made fenestrated stent for mycotic aortic aneurysms: a report of two cases

被引：2

作者：

Li, Siting ^{[1
]}

Chen, Mengyin ^{[1
]}

Zheng, Yuehong ^{[1
]}

Liu, Zhili ^{[1
]}

Zeng, Rong ^{[1
]}

机构：

[1] Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Vasc Surg, Beijing 100730, Peoples R China

来源：

BMC CARDIOVASCULAR DISORDERS | 2021年 / 21卷 / 01期

关键词：

Endovascular repair; Mycotic aneurysm; Paravisceral aortic aneurysm; Custom-made; Fenestrated stent-graft; Case report; ENDOVASCULAR REPAIR;

D O I：

10.1186/s12872-021-02234-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Mycotic aortic aneurysm is a rare and potentially life-threatening lesion, and endovascular repair has become increasingly accepted for intervention. Fenestrated endografts are available options to treat aneurysms involving visceral arteries. Here, we first report two patients with mycotic aortic aneurysm involving paraviscereal aorta who were successfully treated with custom-made fenestrated endograft. Case presentation Two patients were presented with mycotic aortic aneurysm. Due to their comorbidities and the involvement of the renal arteries, company-manufactured fenestrated stents were designed. Meanwhile, antibiotic therapy was administrated for 2 months before endovascular repair. Patients improved well without complications. Conclusions Custom-made fenestrated endovascular stent is an effective and feasible alternative solution to mycotic paravisceral aorta aneurysm.

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