Yonsei Med J.  2012 Jan;53(1):224-227. 10.3349/ymj.2012.53.1.224.

Treatment of an Acute Mycotic Aneurysm of the Common Carotid Artery with a Covered Stent-Graft

• Lee SH
• Cho YK
• Park JM
• Chung C
• Kim HS
• Woo JJ

• KMID: 1779711
• DOI: http://doi.org/10.3349/ymj.2012.53.1.224

Abstract

We report herein a case successful endovascular treatment with a stent-graft of a rare case of rapidly growing mycotic aneurysm of the left common carotid artery due to acute bacterial endocarditis after eradication of the infection. Infected mycotic aneurysms of the peripheral vasculature have been considered as a contraindication for stent-graft implantation because of the possibility of microorganism spreading to the stent-graft; however, if there is evidence of complete eradication of microorganism and surgery is not an option, stent-graft implantation can be an effective and safe treatment modality for exclusion of the mycotic aneurysm.

Keyword

Mycotic aneurysm; covered stent; endovascular therapy; infective endocarditis; carotid artery

MeSH Terms

Acute Disease
Aged, 80 and over
Aneurysm, Infected/etiology/radiography/*therapy
Angioplasty/*methods
Carotid Artery Diseases/etiology/radiography/*therapy
Endocarditis, Bacterial/*complications/radiography
Female
Humans
*Stents
Treatment Outcome