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Treatment of a Salmonella-induced rapidly expanding aortic pseudoaneurysm involving the visceral arteries using the Cardiatis multilayer stent.

Abstract
Treatment of infection-induced aortic aneurysms is among the greatest challenges nowadays of vascular surgery because the use of prosthetic material is considered unsuitable. The Cardiatis multilayer stent (Cardiatis, Isnes, Belgium) is a flow-diverting bare stent with a proven efficacy in peripheral and visceral artery aneurysms. We present a unique case of a Salmonella serotype enteritidis-induced rapidly expanding aortic pseudoaneurysm with a penetrating ulcer that was treated with the Cardiatis multilayer stent. At 18 months of follow-up, the patient was in good clinical condition, with normalized C-reactive protein levels. Computed tomography angiography and 2-deoxy-2-[F18]-fluoro-d-glucose-positron-emission tomography/computed tomography showed a stable, mostly thrombosed aneurysm, with adequate perfusion of the side branches and no remaining signs of infection.
AuthorsMichel M P J Reijnen, Steven M M van Sterkenburg
JournalJournal of vascular surgery (J Vasc Surg) Vol. 60 Issue 4 Pg. 1056-8 (Oct 2014) ISSN: 1097-6809 [Electronic] United States
PMID24035583 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2014 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Coated Materials, Biocompatible
Topics
  • Aged
  • Aneurysm, False (diagnosis, microbiology, surgery)
  • Aneurysm, Infected (diagnosis, microbiology, surgery)
  • Aortic Aneurysm, Abdominal (diagnosis, microbiology, surgery)
  • Blood Vessel Prosthesis
  • Coated Materials, Biocompatible
  • Follow-Up Studies
  • Humans
  • Male
  • Positron-Emission Tomography
  • Prosthesis Design
  • Salmonella Infections (diagnosis, microbiology, surgery)
  • Salmonella enteritidis (isolation & purification)
  • Stents
  • Tomography, X-Ray Computed
  • Viscera (blood supply)

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