A case report of endovascular stenting in Salmonella mycotic aneurysm: a successful procedure in an immunocompromised patient

Ming Hian Kam, Lim Kai Toh, Seck Guan Tan, Daniel Wong, Kok Hoong Chia
2007 Annals of the Academy of Medicine, Singapore  
Mycotic aneurysms are associated with high mortality rates and are managed in the local setting with extra-anatomical bypass followed by ligation, exclusion and debridement of the aneurysm. This is the first case of successful endovascular stenting in an immunocompromised patient with Salmonella mycotic aneurysm. A middle-aged man who was HIV positive had Salmonella septicaemia. He developed abdominal pain 5 days after admission and a computed tomography (CT) scan of the abdomen revealed
more » ... nal aortitis. He developed a mycotic aneurysm 3 weeks later. He opted for endovascular stenting and after prolonged antibiotic therapy and negative blood cultures, he underwent the procedure using a Talent stent, with an iliac extension. He was discharged 1 week after stenting and maintained on oral bactrim based on sensitivity. At 1-year follow-up, he remains well symptomatically and CT scan showed no endoleak or collection. Endovascular stenting, though a fairly new procedure, can be successfully deployed even in a mycotic aneurysm in the right setting.
pmid:18185885 fatcat:6fxjapuc5jbrbnxtcqlk43sykq