Mycotic Aortic Aneurysm and Infected Aortic Graft After Intravesical Bacillus Calmette-Guérin Treatment for Bladder Cancer. (January 2019)

• Record Type: Journal Article
• Authors: Lareyre, Fabien; Reverso-Meinietti, Julie; Carboni, Joseph; Gaudart, Alice; Hassen-Khodja, Réda; Raffort, Juliette
• Is Part Of: Vascular & endovascular surgery. Volume 53:Number 1(2019)
• Page Start: 86
• Page End: 91
• Publication Date: 2019-01
• Subjects: bacillus Calmette-Guérin -- BCG -- mycotic aneurysm -- abdominal aortic aneurysm -- graft infection; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574418800128
• Languages: English
• ISSNs: 1538-5744

Abstract

Although intravesical therapy with bacillus Calmette-Guérin (BCG) has proven its efficiency in the treatment of early-stage bladder cancer, infectious complications can occur and mycotic aneurysms represent a rare but life-threatening complication. Here, we report the case of an aortic graft infection in a patient with abdominal aortic aneurysm who received BCG instillations for the treatment of bladder cancer. Based on the current knowledge on this rare vascular complication, we discuss factors that may have contributed to its occurrence and review issues to optimize its management and early detection.