Endovascular repair of an acute, mycotic, ascending aortic pseudoaneurysm

E Vaughan-Huxley, M S Hamady, M J Metcalfe, B Adams, E Kashef, N J W Cheshire, C D Bicknell
European Journal of Vascular and Endovascular Surgery 2011, 41 (4): 488-91
This report describes endovascular stenting of an acute mycotic ascending aortic aneurysm. An eighty-three year old lady presented nine weeks after aortic valve surgery and subsequent thyroidectomy with sternal pain secondary to a mycotic ascending aortic pseudoaneurysm. The pseudoaneurysm was visible through the unhealed sternum. Open repair was considered too high a mortality risk. Endovascular stenting was performed using two covered infrarenal proximal extension devices (GORE Excluder Aortic Extender(®), W. L. Gore & Associates, Flagstaff, Arizona, USA) deployed from a right axillary approach utilising overdrive cardiac pacing. Post procedure imaging revealed shrinkage of the pseudoaneurysm sac.

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