Endovascular Aneurysm Repair of Tuberculous Mycotic Abdominal Aortic Aneurysm on a Patient With Renal Transplant. (February 2013)

• Record Type: Journal Article
• Authors: Kuhan, Ganesh; Abisi, S.; Chandrasekar, S. N.; MacSweeney, S. T.
• Is Part Of: Vascular & endovascular surgery. Volume 47:Number 2(2013)
• Page Start: 135
• Page End: 137
• Publication Date: 2013-02
• Subjects: mycotic aneurysm -- tuberculosis -- abdominal aortic aneurysm -- EVAR; 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: 10.1177/1538574412470738
• Languages: English
• ISSNs: 1538-5744

Abstract

The case report describes a gentleman with renal transplant who presented with pulmonary tuberculosis (TB) and mycotic aneurysm of abdominal aorta. The aneurysm was successfully treated with endovascular aneurysm repair. A multidisciplinary approach with renal physicians and infectious diseases unit was necessary to treat TB and maintain immunosuppression. The technique used for deployment of the stent graft in the presence of infection and a transplanted kidney is described. The satisfactory outcome at 5 years follow-up indicates that endovascular option for TB mycotic aneurysm is durable and safe option particularly when major open surgery is associated with significant mortality and morbidity.