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Case Reports
. 2016 Dec 1;43(6):528-530.
doi: 10.14503/THIJ-15-5505. eCollection 2016 Dec.

Management of a Mycotic Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery

Ahmet Dolapoglu, Kim I de la Cruz, Joseph S Coselli
Case Reports

Management of a Mycotic Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery

Ahmet Dolapoglu et al. Tex Heart Inst J. .

Abstract

A mycotic aneurysm that also involves the visceral arteries is a life-threatening condition. Surgical management typically consists of débridement and in situ repair with a Dacron graft and reimplantation of the involved visceral branches. We report a rare case of a mycotic saccular thoracoabdominal aortic aneurysm involving the celiac artery, with Streptococcus pneumoniae as the responsible organism. Successful repair of the aneurysm and concomitant revascularization of the celiac artery were achieved.

Keywords: Aneurysm, infected/diagnosis/microbiology/surgery/therapy; aortic aneurysm, abdominal/diagnosis/microbiology/surgery; streptococcal infections/diagnosis/surgery/therapy; treatment outcome; vascular surgical procedures.

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Figures

Fig. 1
Fig. 1
Preoperative computed tomographic scan (lateral view) shows the saccular aneurysm originating from the thoracoabdominal aorta (necessitating extent III repair). The aneurysm extends to the occluded celiac artery.
Fig. 2
Fig. 2
Computed tomographic scan (3-dimensional reconstruction) shows the distinctive shape of the saccular aneurysm, which incorporates the celiac axis in its distal aspect.
Fig. 3
Fig. 3
Intraoperative photographs show A) the exposed mycotic aneurysm and B) the Dacron graft in situ, with a distal aspect of the prefabricated side branch anastomosed end-to-end to the celiac artery.
See this image and copyright information in PMC

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