Successful emergency endovascular treatment of juxtarenal and infrarental mycotic aortic aneurysms in patients with small diameter aortae using Cook® Zenith ESLE Stentgrafts

doi:10.5847/wjem.j.issn.1920-8642.2012.02.012

Abstract

Abstract:

BACKGROUND: Endovascular repair of mycotic aneurysm is an alternative to open repair if the patho-anatomy is suitable. The aortic size above and below the mycotic aneurysm may be small.

METHODS: A retrospective review was made of prospectively collected departmental computerised database.

RESULTS: Three oriental patients with juxta- and infra-renal mycotic aortic aneurysms with a small aortic diameter of 17 mm to 18 mm underwent successful emergency endovascular treatment using Cook^® Zenith ESLE stentgrafts. These are ancillary devices aimed at iliac extensions usually.

CONCLUSION: This is to our knowledge the first case series of Cook^® Zenith ESLE iliac component endografts for the treatment of aortic mycotic aneurysms with small aortae, and short- and mid-term results are encouraging.

Key words: Endovascular, Mycotic, Small aorta, Oversizing, Cook^? Zenith ESLE Stentgrafts;

Chan YC, Ting AC, Yiu WK, Cheng SW. Successful emergency endovascular treatment of juxtarenal and infrarental mycotic aortic aneurysms in patients with small diameter aortae using Cook^® Zenith ESLE Stentgrafts[J]. World Journal of Emergency Medicine, 2012, 3(2): 146-149.

Figures/Tables 4

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Table 1

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Patient	Location of mycotic aneurysm	Presumed organism	Presumed septic source	Antibiotics
1	Juxta-renal	Escherichia coli	Urine	Ceftibuten, levofloxacin
2	Infra-renal	Salmonella enteritidis	Stool	Levofloxacin
3	Juxta-renal and left internal iliac	Burkholeria pseudomelli, Staphylococcus aureus	Right atrium endocarditis	Doxycycline

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