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World Journal of Emergency Medicine ›› 2012, Vol. 3 ›› Issue (2): 146-149.doi: 10.5847/wjem.j.issn.1920-8642.2012.02.012

• Case Reports • Previous Articles     Next Articles

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

Chan YC(), Ting AC, Yiu WK, Cheng SW   

  1. Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China
  • Received:2011-12-19 Accepted:2012-04-12 Online:2012-06-15 Published:2012-06-15
  • Contact: Chan YC E-mail:ycchan88@hkucc.hku.hk

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;