Concomitant paravisceral and thoracic mycotic aortic aneurysms in a cirrhotic patient

C Adam Banks; Adam W Beck; Graeme E McFarland; Kyle Eudailey

doi:10.1016/j.jvscit.2021.06.013

Concomitant paravisceral and thoracic mycotic aortic aneurysms in a cirrhotic patient

J Vasc Surg Cases Innov Tech. 2021 Jul 1;7(3):496-501. doi: 10.1016/j.jvscit.2021.06.013. eCollection 2021 Sep.

Authors

C Adam Banks¹, Adam W Beck¹, Graeme E McFarland¹, Kyle Eudailey²

Affiliations

¹ Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, Ala.
² Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Ala.

Abstract

In the present case report, we have described concomitant, rapidly expanding, abdominal and thoracic mycotic aortic pseudoaneurysms in a patient who had originally presented for right arm superficial thrombophlebitis and a right-hand abscess in the presence of methicillin sensitive Staphylococcus aureus bacteremia. Within 12 days, the patient had developed a rapidly expanding paravisceral mycotic abdominal aortic pseudoaneurysm that required open surgical repair. After the initial operation, she developed a thoracic mycotic aortic aneurysm that ultimately required open surgical repair. Her postoperative course after the initial operation was complicated by decompensated hepatitis C cirrhosis that required convalescence before repair of the thoracic aneurysm. Follow-up data were available for ≤10 months after the initial operation.

Keywords: Endovascular aneurysm repair; Mycotic abdominal aortic aneurysm; Mycotic aortic aneurysm; Open in situ reconstruction; Thoracic mycotic aortic aneurysm.

Publication types

Case Reports