Endovascular Aortic Repair for a Symptomatic Mycotic Aneurysm With Listeria monocytogenes : A Case Report

• Published in: Vascular and endovascular surgery Vol. 57; no. 4; p. 411
• Main Authors: Masuda, Noriyasu, Azuma, Takashi, Furukawa, Hiroshi, Uwabe, Kazuhiko
• Format: Journal Article
• Language: English
• Published: United States 01.05.2023
• Subjects: Aged, 80 and over; Aneurysm, Infected - diagnostic imaging; Aneurysm, Infected - surgery; Anti-Bacterial Agents - therapeutic use; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - surgery; Blood Vessel Prosthesis Implantation; Endovascular Aneurysm Repair; Endovascular Procedures; Female; Humans; Listeria monocytogenes; Treatment Outcome; endovascular aortic repair; Listeria monocytogenes; antibacterial agent; symptomatic; mycotic abdominal aortic aneurysm
• ISSN: 1938-9116
• DOI: 10.1177/15385744221146679

To report a case of successful endovascular aortic repair for a symptomatic mycotic abdominal aortic aneurysm infected with . We report the case of an 88-year-old woman who presented with acute abdominal pain and vomiting. Approximately a year prior to her presentation, the patient was diagnosed with a mycotic abdominal aortic aneurysm with and was treated conservatively for more than 2 months at another hospital. At our hospital, contrast-enhanced computed tomography revealed an abdominal aortic aneurysm and an aneurysm of the left internal iliac artery. Endovascular aortic repair was performed successfully. At 16 months after the surgery, the patient remained asymptomatic on long-term antibiotics, and there was no enlargement of the aneurysm. Endovascular aortic repair and lifelong antibiotics may be an alternative therapy for mycotic abdominal aortic aneurysms. However, the risk of recurrent infection is high and warrants long-term follow-up.