Mycotic abdominal aortic aneurysms (AAAs) are a clinical challenge for vascular surgeons due to their critical location, surrounding inflammation, risk of rupture, and danger of reinfection following treatment.
We present a case of Mycobacterium bovis AAA in a 69-year-old male after treatment with intravesicular bacillus Calmette-Guérin (BCG) therapy for bladder carcinoma. The classical approach for mycotic AAA entails extra-anatomic reconstruction followed by resection with oversewing of the proximal and distal aortic stumps. Alternative in-line reconstruction options have also been advocated. This case illustrates a technically straightforward, durable, in-line repair within an infected field utilizing cryopreserved aortic allograft.
Written by:
Psoinos CM, Simons JP, Baril DT, Robinson WP, Schanzer A. Are you the author?
Reference: Vasc Endovascular Surg. 2012 Oct 18. Epub ahead of print.
doi: 10.1177/1538574412463973
PubMed Abstract
PMID: 23081891
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