• J. Endovasc. Ther. · Feb 2003

    Case Reports

    Successful endoluminal repair of an infected thoracic pseudoaneurysm caused by methicillin-resistant Staphylococcus aureus.

    • Rachel E Bell, Peter R Taylor, Marion Aukett, George H Evans, and John F Reidy.
    • Department of General and Vascular Surgery, St. Thomas' Hospital, London, UK.
    • J. Endovasc. Ther. 2003 Feb 1;10(1):29-32.

    PurposeTo report the successful endoluminal repair of an infected thoracic aneurysm secondary to methicillin-resistant Staphylococcus aureus (MRSA).Case ReportA 76-year-old man presented with an infected thoracic pseudoaneurysm 9 weeks after an elective infrarenal aneurysm repair. Blood cultures were positive for MRSA. Computed tomography (CT) showed an 11.5-cm false aneurysm of the descending thoracic aorta just proximal to the celiac axis. An Excluder stent-graft was used to successfully repair the lesion. Recovery was uneventful, and the patient was treated with linezolid for 6 weeks. Follow-up CT scans at 3 and 12 months confirmed exclusion of the aneurysm and progressive shrinkage of the aneurysm sac with no evidence of graft infection.ConclusionsEndoluminal repair is an alternative to open surgery for the treatment of infected aneurysms of the thoracic aorta.

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