Abstract
A 62-year-old man was admitted with left shoulder pain and high fever. Enhanced computed tomography (CT) showed a lobular dilatation of distal aortic arch, descending thoracic aorta and left common iliac artery. The diagnosis was infected multiple aortic aneurysms. Following to antibiotic therapy for 11 weeks, the patient was underwent the operation. Aortic arch was reconstructed with 4-branched graft, thoracic endovascular stent grafts were deployed at distal arch, descending thoracic aorta, and iliac stent graft was also deployed to left common iliac artery (hybrid-procedure). Postoperative CT revealed no endoleakage in aneurysms. Intravenous antibiotic therapy was continued for a month. Hybrid-procedure for infected aneurysm may be an alternative to standard open procedures in high-risk cases.
