Journal List > J Korean Soc Radiol > v.65(3) > 1086997

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Jeong, Jung, Lim, Yim, Chang, Kim, and Choi: A Case Report of the Endovascular Treatment of Mycotic Abdominal Aortic Pseudoaneurysms Using a Customized Stent-Graft
Interventional Radiology
Case Report

Journal of the Korean Society of Radiology 2011; 65(3): 241-245.

Published online: 30 September 2011

DOI: https://doi.org/10.3348/jksr.2011.65.3.241

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

Seo In Jeong, MD2, Hye Doo Jung, MD1, Jae Hoon Lim, MD1, Nam Yeol Yim, MD2, Nam Kyu Chang, MD2, Jae Kyu Kim, MD1, Soo Jin Na Choi, MD3

1Department of Radiology, Chonnam National University Hospital, Gwangju, Korea.

2Department of Radiology, Chonnam National University Hwasun Hospital, Hwasun, Korea.

3Department of Surgery, Chonnam National University Hospital, Gwangju, Korea.

Corresponding author: Jae Kyu Kim, MD. Department of Radiology, Chonnam National University Hospital, Chonnam National University School of Medicine, 42 Jebong-ro, Dong-gu, Gwangju 501-757, Korea. Tel. 82-62-220-5746, Fax. 82-62-226-4380, kjkrad@chonnam.ac.kr

Received 28 June 2011       Accepted 30 July 2011

Copyright © 2011 The Korean Society of Radiology

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.

Keywords: Stent, Aneurysm, False, Aorta, Abdomen

Figures and Tables

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.
jksr-65-241-g001

References

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