Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula

Debra S T Chong; Hamish Hamilton; Jason Constantinou; Meryl Davis; Muntzer Mughal; Krasnodar Ivancev

doi:10.1016/j.jvsc.2015.05.003

Successful stent graft repair of multiple thoracoabdominal mycotic aortic aneurysms in the presence of Kommerell diverticulum and complicated by aortoesophageal fistula

J Vasc Surg Cases. 2015 Aug 5;1(3):197-200. doi: 10.1016/j.jvsc.2015.05.003. eCollection 2015 Sep.

Authors

Debra S T Chong^{1

2}, Hamish Hamilton¹, Jason Constantinou¹, Meryl Davis¹, Muntzer Mughal^{2

3}, Krasnodar Ivancev¹

Affiliations

¹ Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, United Kingdom.
² Division of Surgery and Interventional Science, University College London, London, United Kingdom.
³ Upper Gastro-Intestinal Unit, University College London Hospitals NHS Foundation Trust, London, United Kingdom.

Abstract

We describe the management of a woman who presented with synchronous mycotic aortic aneurysms of the aortic arch in the presence of Kommerell diverticulum, the distal thoracic, and the juxtarenal aorta. A staged stent graft repair was undertaken due to rapid expansion of the aneurysms, which involved placement of multiple thoracic quadruple-fenestrated and infrarenal bifurcated stent grafts. Despite complications of an aortoesophageal fistula and transitory spinal cord ischemia, she has been managed successfully and is doing well at 36 months. This case illustrates that stent graft repair of mycotic aneurysms can offer a successful treatment option in selected patients.

Publication types

Case Reports