Management of a Mycotic Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery

Abstract

A mycotic aneurysm that also involves the visceral arteries is a life-threatening condition. Surgical management typically consists of débridement and in situ repair with a Dacron graft and reimplantation of the involved visceral branches. We report a rare case of a mycotic saccular thoracoabdominal aortic aneurysm involving the celiac artery, with Streptococcus pneumoniae as the responsible organism. Successful repair of the aneurysm and concomitant revascularization of the celiac artery were achieved.

Keywords: Aneurysm, infected/diagnosis/microbiology/surgery/therapy; aortic aneurysm, abdominal/diagnosis/microbiology/surgery; streptococcal infections/diagnosis/surgery/therapy; treatment outcome; vascular surgical procedures.