Abstract
A 72-year-old man entered our hospital and was diagnosed with Methicillin-resistant Staphylococcus aureus (MRSA) pneumonia, mediastinitis and sepsis. An enhanced computed tomography (CT) scan revealed a pseudoanuerysm of the right subclavian artery, which was considered to be a mycotic aneurysm. It required surgical treatment, but his general condition was serious, so emergency endovascular treatment, considering phased open surgery, was performed. In the operation, Gore excluder leg (16×10×70 mm) was detached from the brachiocephalic artery and attached to the right common carotid artery, while the right subclavian artery was performing coil embolization. Long term antibiotics therapy was done, and he was discharged 153 days after surgery. Endovascular treatment for mycotic aneurysm is controversial, but it could be a choice especially with patients in poor condition.
