Development of symptomatic inflammatory aneurysm treated with endovascular repair in coronavirus disease 2019-infected patient

Abstract

The sequelae and complications of coronavirus disease 2019 infection have continued to emerge during this pandemic era. Although the long-term effects are continually being monitored and studied, we have been seeing more acute and subacute medical complications requiring a thorough discussion and, sometimes, adjustment of our standard of care and intervention. In the present report, we describe a case of an acute, symptomatic inflammatory or mycotic abdominal aortic aneurysm in a patient with coronavirus disease 2019 who had undergone urgent endovascular repair.

Keywords: Abdominal aortic aneurysm; COVID-19; COVID-19 aneurysm; Endovascular aneurysm repair; Infected aneurysm; Inflammatory aneurysm; Mycotic aneurysm.

Fig 1

Axial (Left) and coronal (Right) views of initial computed tomography (CT) scan showing a 4.3-cm aneurysmal segment of the abdominal aorta.

Fig 2

A, Angiogram of the abdominal aorta showing the aneurysm. B, Fluoroscopic image illustrating deployment of the main body bifurcation stent with extension into the right common iliac artery. C, Completion angiogram of abdominal aorta illustrating successful stent placement with exclusion of the aortic aneurysm.

Fig 3

Axial (Left) and coronal (Right) views of 6-week follow-up computed tomography (CT) scan, illustrating the stent position and continued exclusion of the aneurysm.