J Korean Surg Soc.  2012 Oct;83(4):250-253. 10.4174/jkss.2012.83.4.250.

Endovascular treatment of ruptured infected aortic aneurysm with sepsis

• Kim JG
• Kwon JB
• Park K
• Lee J

• KMID: 2212320
• DOI: http://doi.org/10.4174/jkss.2012.83.4.250

Abstract

The generally accepted treatment for infected aortic aneurysms involves open surgical resection and debridement, with in situ or extra-anatomical bypass. Occasionally, endovascular management can be substituted for the standard operation dependent on the patient's condition. We report the case of an 81-year-old female with a ruptured infected aortic aneurysm and sepsis, successfully treated endovascularly. She had been on oral antibiotics for one year and is doing well 2 years after discharge.

Keyword

Ruptured aneurysm; Sepsis; Endovascular treatment

MeSH Terms

Aged, 80 and over
Aneurysm, Ruptured
Anti-Bacterial Agents
Aortic Aneurysm
Debridement
Female
Humans
Sepsis
Anti-Bacterial Agents

Figure

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  Fig. 1 (A) Contrast-enhanced computed tomography images revealed near normal abdominal aorta two months before admission and (B) ruptured abdominal aortic aneurysm at admission.

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  Fig. 2 (A) Endovascular treatment of right aorto-uni-iliac stent graft insertion, left common iliac artery plugging and fem-fem bypass and (B) follow-up computed tomography 3 months later angiogram revealed absorption of hematoma around the aorta.

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  Fig. 3 Magnetic resonance imaging of the lumbosacral spine showed spondylitis in L3, 4, 5 levels, associated paraspinal and psoas muscle infection including microabscess.

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