Endovascular repair of an acute, mycotic, ascending aortic pseudoaneurysm

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Abstract

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. © 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

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Vaughan-Huxley, E., Hamady, M. S., Metcalfe, M. J., Adams, B., Kashef, E., Cheshire, N. J. W., & Bicknell, C. D. (2011). Endovascular repair of an acute, mycotic, ascending aortic pseudoaneurysm. European Journal of Vascular and Endovascular Surgery, 41(4), 488–491. https://doi.org/10.1016/j.ejvs.2010.12.004

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