Treatment of a ruptured thoracoabdominal aneurysm with a stent-graft covering the celiac axis

Francisca H. Jorna, Eric L.G. Verhoeven, Wendy T.J.G. Bos, Ted R. Prins, Johan A. Dol, Michel M.P.J. Reijnen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

22 Citations (Scopus)

Abstract

Purpose: To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis. Case Report: A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured mycotic TAAA extending to the celiac axis. The aneurysm was excluded with a stent-graft soaked in rifampicin and deployed to deliberately occlude the celiac axis for effective distal sealing and fixation. The patient recovered well and was prescribed antibiotic treatment for up to 6 months. Conclusion: Endovascular repair of a ruptured TAAA may be a life-saving option. In emergency situations when poor distal anatomy is present, covering the celiac artery with the stent-graft should be considered.

Original languageEnglish
Pages (from-to)770-774
Number of pages5
JournalJournal of Endovascular Therapy
Volume13
Issue number6
DOIs
Publication statusPublished - 1 Dec 2006
Externally publishedYes

Keywords

  • Endovascular repair
  • Infection
  • Mycotic aneurysm
  • Stent-graft
  • Thoracoabdominal aortic aneurysm

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