J Korean Soc Radiol.  2011 Sep;65(3):241-245.

A Case Report of the Endovascular Treatment of Mycotic Abdominal Aortic Pseudoaneurysms Using a Customized Stent-Graft

• Jeong SI
• Jung HD
• Lim JH
• Yim NY
• Chang NK
• Kim JK
• Choi SJ

Abstract

Abdominal aortic aneurysms located around the major branch of the aorta were treated surgically rather than by endovascular treatment due to the complex anatomy. Recently, the treatment modality evolved towards a customized stent-graft. We report on a case of a mycotic pseudoaneurysm originating in the abdominal aorta at the level of superior mesenteric artery, which was treated with a customized stent-graft.

MeSH Terms

Abdomen
Aneurysm
Aneurysm, False
Aorta
Aorta, Abdominal
Aortic Aneurysm, Abdominal
Mesenteric Artery, Superior
Stents

Figure

• 

  Fig. 1 A. Axial computed tomography (CT) scan shows pseudoaneurysm on the right side of the aorta (7 o'clock, arrow) at the level of superior mesenteric artery (12-1 o'clock, black arrowhead). The aneurysm was increased in size, comparing with previous CT (not shown). B. Customized stent-graft with partially cut graft at 10-2 o'clock. C. Three markers with long left limb and short right limb, at the bear area. D. Aortic angiogram shows two pseudoaneurysms on right side of the aorta at distal descending thoracic aorta (long arrow) and proximal abdominal aorta (arrow). The abdominal pseudoaneurysm is observed at the level of superior mesenteric artery (black arrowhead). E. Completion angiogram shows exclusion of pseudoaneurysm with small endoleak (small white arrows). F. Follow up axial CT scan, after 25 days, shows complete exclusion of pseudoaneurysm with improvement of endoleak. And superior mesenteric artery (arrowhead) and celiac axis (not shown) were patent.

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