Mycotic aortic aneurysms are rare, with a reported incidence of 1-1.8% of all aortic aneurysms. We report a case of endovascular aneurysm repair (EVAR) for a mycotic abdominal aortic aneurysm.
An 80-year-old woman with knee pain was found to have an aortic aneurism on magnetic resonance imaging scan of the lumbar spine. Hematologic test results indicated markedly elevated levels of inflammatory enzymes, and mycotic abdominal aortic aneurysm was diagnosed.
Initially, antibiotic treatment and EVAR was planned, after improvement in the patient's inflammatory response. However, on the third day after hospitalization, contrast-enhanced computed tomography (CT) showed an enlarged aneurysm. Therefore, an emergency EVAR was performed because of rupture. Seventy-six days postoperatively, that is, the period from the operation to discharge, no complications were noted. One year after the discharge, the follow-up CT scan indicated a stable and reduced aneurysm.
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