Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, People's Republic of China.
BMC Cardiovasc Disord. 2021 Sep 10;21(1):428. doi: 10.1186/s12872-021-02234-9.
Mycotic aortic aneurysm is a rare and potentially life-threatening lesion, and endovascular repair has become increasingly accepted for intervention. Fenestrated endografts are available options to treat aneurysms involving visceral arteries. Here, we first report two patients with mycotic aortic aneurysm involving paraviscereal aorta who were successfully treated with custom-made fenestrated endograft.
Two patients were presented with mycotic aortic aneurysm. Due to their comorbidities and the involvement of the renal arteries, company-manufactured fenestrated stents were designed. Meanwhile, antibiotic therapy was administrated for 2 months before endovascular repair. Patients improved well without complications.
Custom-made fenestrated endovascular stent is an effective and feasible alternative solution to mycotic paravisceral aorta aneurysm.
真菌性主动脉瘤是一种罕见且可能危及生命的病变，血管内修复已越来越多地被接受用于干预。开窗内支架是治疗涉及内脏动脉的动脉瘤的可选方案。在这里，我们首次报告了两例涉及副肠系膜主动脉的真菌性主动脉瘤患者，他们成功地接受了定制的开窗内支架治疗。
两名患者均表现为真菌性主动脉瘤。由于存在合并症且累及肾动脉，因此设计了定制的开窗支架。同时，在血管内修复前进行了 2 个月的抗生素治疗。患者恢复良好，无并发症。
定制的开窗血管内支架是治疗真菌性副肠系膜主动脉瘤的一种有效且可行的替代方案。
