Abstract
Purpose:
To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis.
Case report:
A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured mycotic TAAA extending to the celiac axis. The aneurysm was excluded with a stent-graft soaked in rifampicin and deployed to deliberately occlude the celiac axis for effective distal sealing and fixation. The patient recovered well and was prescribed antibiotic treatment for up to 6 months.
Conclusion:
Endovascular repair of a ruptured TAAA may be a life-saving option. In emergency situations when poor distal anatomy is present, covering the celiac artery with the stent-graft should be considered.
MeSH terms
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Abdominal Pain / etiology
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Aged
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Aneurysm, Infected / complications
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Aneurysm, Infected / diagnostic imaging
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Aneurysm, Infected / therapy*
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Angiography
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Angioplasty, Balloon / methods*
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Anti-Bacterial Agents / therapeutic use
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Antibiotics, Antitubercular
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Aortic Aneurysm, Abdominal / complications
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Aortic Aneurysm, Abdominal / diagnostic imaging
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Aortic Aneurysm, Abdominal / therapy*
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Aortic Aneurysm, Thoracic / complications
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Aortic Aneurysm, Thoracic / diagnostic imaging
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Aortic Aneurysm, Thoracic / therapy*
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Aortic Rupture / complications
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Aortic Rupture / diagnostic imaging
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Aortic Rupture / therapy*
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Blood Vessel Prosthesis Implantation / methods*
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Celiac Artery*
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Diarrhea / etiology
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Emergencies
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Fatigue / etiology
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Female
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Fever / etiology
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Humans
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Patient Selection
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Prosthesis Design
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Rifampin
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Stents*
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Tomography, X-Ray Computed
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Antibiotics, Antitubercular
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Rifampin