Repair of mycotic paravisceral aneurysm with a fenestrated stent-graft

J Endovasc Ther. 2000 Jun;7(3):192-7. doi: 10.1177/152660280000700304.


Purpose: To report the successful endovascular repair of a mycotic paravisceral aneurysm using a fenestrated stent-graft.

Methods and results: A 55-year-old white female with a history of rheumatoid arthritis presented with an 8-cm paravisceral aneurysm secondary to pneumonia complicated by empyema. Intravascular ultrasound identified a defect in the aortic wall at the level of the celiac axis. Repair was accomplished with a fenestrated stent-graft that excluded the aneurysm and maintained flow to the celiac axis and superior mesenteric artery. Recovery was uneventful and the patient was discharged in 2 days. Six-month follow-up computed tomographic scanning confirmed aneurysm exclusion and flow to the celiac and superior mesenteric arteries. There was no evidence of graft infection. The patient died from a clinically diagnosed myocardial infarction 10 months after the stent-graft repair.

Conclusions: Fenestrated stent-graft repair may evolve into a useful technique for the treatment of mycotic paravisceral aneurysms.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnosis
  • Aneurysm, False / microbiology
  • Aneurysm, False / surgery*
  • Aneurysm, Infected / diagnosis
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / surgery*
  • Angiography
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Escherichia coli / isolation & purification
  • Escherichia coli Infections / diagnosis
  • Escherichia coli Infections / microbiology
  • Escherichia coli Infections / surgery*
  • Fatal Outcome
  • Female
  • Humans
  • Middle Aged
  • Stents*
  • Tomography, X-Ray Computed
  • Ultrasonography, Interventional