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Case Reports
. 2012;5(2):208-12.
doi: 10.3400/avd.cr.11.00052.

Mycotic Celiac Artery Aneurysm Following Infective Endocarditis: Successful Treatment Using N-butyl Cyanoacrylate with Embolization Coils

Akira Aki  1 , Toshihiko Ueda, Jun Koizumi, Yoshinori Cho, Shinichiro Shimura, Hidekazu Furuya, Kazunori Myojin, Kimiaki Okada, Chiharu Tanaka
Affiliations
Case Reports

Mycotic Celiac Artery Aneurysm Following Infective Endocarditis: Successful Treatment Using N-butyl Cyanoacrylate with Embolization Coils

Akira Aki et al. Ann Vasc Dis. 2012.

Abstract

Mycotic celiac artery aneurysm following infective endocarditis is extremely rare and, to our knowledge, only four cases have been reported in the literature to date. We describe the case of a 60 year-old man who developed a mycotic aneurysm of the celiac artery, which was detected by computed tomography (CT) following an episode of infective endocarditis. He successfully underwent endovascular isolation and packing of the aneurysm using N-butyl cyanoacrylate (NBCA) with embolization coils.

Keywords: embolization; mycotic celiac artery aneurysm; n-butyl cyanoacrylate.

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Figures

Fig. 1
Fig. 1
Computed tomography imaging. A: Computed tomography imaging at the time of hospitalization. There are no abnormal findings. B: Seventh day after hospitalization. Hazy fat density is observed around the celiac artery (arrow). C: Thirtieth day after hospitalization. A celiac artery aneurysm (arrow) with a diameter of 17 mm is observed. D: Nine months after hospitalization. Expansion of the celiac artery aneurysm (from17 mm to 50 mm) is observed. The aneurysm was suspected a pseudoaneurysm, and there is sever adhesion among surrounding tissues.
Fig. 2
Fig. 2
Three-dimensional computed tomography nine months after hospitalization Three-dimensional computed tomography reveals a celiac artery aneurysm (arrow head) and a pseudoaneurysm located below it (※). CHA: common hepatic artery; LGA: left gastric artery; SpA: splenic artery; SMA: superior mesenteric artery
Fig. 3
Fig. 3
A: Primary selective angiography of the celiac trunk. B: After isolation and packing of the aneurysm, collaterals to the liver (arrow) and the spleen via the patent left gastric artery are identified. CHA: common hepatic artery; LGA: left gastric artery; SpA: splenic artery
See this image and copyright information in PMC

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