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

doi:10.1583/06-1903.1

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 journal › Article › Academic › peer-review

24 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 language	English
Pages (from-to)	770-774
Number of pages	5
Journal	Journal of Endovascular Therapy
Volume	13
Issue number	6
DOIs	https://doi.org/10.1583/06-1903.1
Publication status	Published - 1 Dec 2006
Externally published	Yes

Keywords

Endovascular repair
Infection
Mycotic aneurysm
Stent-graft
Thoracoabdominal aortic aneurysm

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10.1583/06-1903.1

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title = "Treatment of a ruptured thoracoabdominal aneurysm with a stent-graft covering the celiac axis",

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.",

keywords = "Endovascular repair, Infection, Mycotic aneurysm, Stent-graft, Thoracoabdominal aortic aneurysm",

author = "Jorna, {Francisca H.} and Verhoeven, {Eric L.G.} and Bos, {Wendy T.J.G.} and Prins, {Ted R.} and Dol, {Johan A.} and Reijnen, {Michel M.P.J.}",

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AU - Jorna, Francisca H.

AU - Verhoeven, Eric L.G.

AU - Bos, Wendy T.J.G.

AU - Prins, Ted R.

AU - Dol, Johan A.

AU - Reijnen, Michel M.P.J.

PY - 2006/12/1

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AB - 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.

KW - Endovascular repair

KW - Infection

KW - Mycotic aneurysm

KW - Stent-graft

KW - Thoracoabdominal aortic aneurysm

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

Abstract

Keywords

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