Endovascular repair for multiple Salmonella mycotic aneurysms of the thoracic aorta presenting with Cardiovocal syndrome.

Abstract

Salmonella mycotic thoracic aortic aneurysm is a rare but life-threatening condition. We report a 59-year-old man with two Salmonella mycotic thoracic aortic aneurysms, presented with fever and chills associated with hoarseness due to left vocal cord palsy (Cardiovocal syndrome). Successful endovascular repair was performed using two Talent thoracic stent-graft devices deployed separately to cover the two mycotic aneurysms. Subsequent computed tomography at 12 months after the operation confirmed exclusion of the two pseudoaneurysms with no endoleak. With potent antibiotics and careful surveillance program, endovascular repair is a possible alternative to conventional open surgery in the management of mycotic thoracic aortic aneurysms, especially in high-risk patients.

• Authors: Albert C W Ting, Stephen W K Cheng, Pei Ho, Jensen T C Poon
• Journal: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (Eur J Cardiothorac Surg) Vol. 26 Issue 1 Pg. 221-4 (Jul 2004) ISSN: 1010-7940 [Print] Germany
• PMID: 15201010 (Publication Type: Case Reports, Journal Article)

Topics

• Aneurysm, Infected (diagnostic imaging, surgery)
• Aortic Aneurysm, Thoracic (diagnostic imaging, surgery)
• Hoarseness (diagnosis)
• Humans
• Male
• Middle Aged
• Salmonella Infections (diagnostic imaging, surgery)
• Salmonella enteritidis
• Syndrome
• Tomography, X-Ray Computed