Successful endoluminal repair of an infected thoracic pseudoaneurysm caused by methicillin-resistant Staphylococcus aureus.

Abstract

PURPOSE:

To report the successful endoluminal repair of an infected thoracic aneurysm secondary to methicillin-resistant Staphylococcus aureus (MRSA).

CASE REPORT:

A 76-year-old man presented with an infected thoracic pseudoaneurysm 9 weeks after an elective infrarenal aneurysm repair. Blood cultures were positive for MRSA. Computed tomography (CT) showed an 11.5-cm false aneurysm of the descending thoracic aorta just proximal to the celiac axis. An Excluder stent-graft was used to successfully repair the lesion. Recovery was uneventful, and the patient was treated with linezolid for 6 weeks. Follow-up CT scans at 3 and 12 months confirmed exclusion of the aneurysm and progressive shrinkage of the aneurysm sac with no evidence of graft infection.

CONCLUSIONS:

Endoluminal repair is an alternative to open surgery for the treatment of infected aneurysms of the thoracic aorta.

• Authors: Rachel E Bell, Peter R Taylor, Marion Aukett, George H Evans, John F Reidy
• Journal: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (J Endovasc Ther) Vol. 10 Issue 1 Pg. 29-32 (Feb 2003) ISSN: 1526-6028 [Print] United States
• PMID: 12751926 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Aged
• Aneurysm, False (diagnostic imaging, microbiology, surgery)
• Aneurysm, Infected (diagnostic imaging, microbiology, surgery)
• Aortic Aneurysm, Thoracic (diagnostic imaging, microbiology, surgery)
• Blood Vessel Prosthesis Implantation
• Humans
• Male
• Methicillin Resistance
• Staphylococcal Infections (complications)
• Stents
• Tomography, X-Ray Computed