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    J Korean Soc Radiol. 2011 Sep;65(3):241-245. Korean.
    Published online Sep 30, 2011.
    https://doi.org/10.3348/jksr.2011.65.3.241
    Copyright © 2011 The Korean Society of Radiology
    Case Report

    A Case Report of the Endovascular Treatment of Mycotic Abdominal Aortic Pseudoaneurysms Using a Customized Stent-Graft

    Seo In Jeong, MD,2 Hye Doo Jung, MD,1 Jae Hoon Lim, MD,1 Nam Yeol Yim, MD,2 Nam Kyu Chang, MD,2 Jae Kyu Kim, MD,1 and Soo Jin Na Choi, MD3
      • 1Department of Radiology, Chonnam National University Hospital, Gwangju, Korea.
      • 2Department of Radiology, Chonnam National University Hwasun Hospital, Hwasun, Korea.
      • 3Department of Surgery, Chonnam National University Hospital, Gwangju, Korea.
    • Corresponding author: Jae Kyu Kim, MD. Department of Radiology, Chonnam National University Hospital, Chonnam National University School of Medicine, 42 Jebong-ro, Dong-gu, Gwangju 501-757, Korea. Tel. 82-62-220-5746, Fax. 82-62-226-4380, Email: kjkrad@chonnam.ac.kr
    Received June 28, 2011; Accepted July 30, 2011.

    Abstract

    Abdominal aortic aneurysms located around the major branch of the aorta were treated surgically rather than by endovascular treatment due to the complex anatomy. Recently, the treatment modality evolved towards a customized stent-graft. We report on a case of a mycotic pseudoaneurysm originating in the abdominal aorta at the level of superior mesenteric artery, which was treated with a customized stent-graft.

    Keywords
    Stent; Aneurysm, False; Aorta, Abdomen

    Figures

    Fig. 1
    A. Axial computed tomography (CT) scan shows pseudoaneurysm on the right side of the aorta (7 o'clock, arrow) at the level of superior mesenteric artery (12-1 o'clock, black arrowhead). The aneurysm was increased in size, comparing with previous CT (not shown).
    B. Customized stent-graft with partially cut graft at 10-2 o'clock.

    C. Three markers with long left limb and short right limb, at the bear area.

    D. Aortic angiogram shows two pseudoaneurysms on right side of the aorta at distal descending thoracic aorta (long arrow) and proximal abdominal aorta (arrow). The abdominal pseudoaneurysm is observed at the level of superior mesenteric artery (black arrowhead).

    E. Completion angiogram shows exclusion of pseudoaneurysm with small endoleak (small white arrows).

    F. Follow up axial CT scan, after 25 days, shows complete exclusion of pseudoaneurysm with improvement of endoleak. And superior mesenteric artery (arrowhead) and celiac axis (not shown) were patent.

    References

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    MeSH Terms
    Abdomen
    Aneurysm
    Aneurysm, False
    Aorta
    Aorta, Abdominal
    Aortic Aneurysm, Abdominal
    Mesenteric Artery, Superior
    Stents
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