Endovascular aneurysm repair of tuberculous mycotic abdominal aortic aneurysm on a patient with renal transplant

Vasc Endovascular Surg. 2013 Feb;47(2):135-7. doi: 10.1177/1538574412470738. Epub 2012 Dec 27.

Abstract

The case report describes a gentleman with renal transplant who presented with pulmonary tuberculosis (TB) and mycotic aneurysm of abdominal aorta. The aneurysm was successfully treated with endovascular aneurysm repair. A multidisciplinary approach with renal physicians and infectious diseases unit was necessary to treat TB and maintain immunosuppression. The technique used for deployment of the stent graft in the presence of infection and a transplanted kidney is described. The satisfactory outcome at 5 years follow-up indicates that endovascular option for TB mycotic aneurysm is durable and safe option particularly when major open surgery is associated with significant mortality and morbidity.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Infected / diagnostic imaging
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / surgery*
  • Antitubercular Agents / therapeutic use
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / microbiology
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Humans
  • Immunocompromised Host
  • Immunosuppressive Agents / therapeutic use
  • Kidney Transplantation* / immunology
  • Male
  • Middle Aged
  • Patient Care Team
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Tuberculosis, Cardiovascular / diagnostic imaging
  • Tuberculosis, Cardiovascular / microbiology
  • Tuberculosis, Cardiovascular / surgery*

Substances

  • Antitubercular Agents
  • Immunosuppressive Agents