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Shao CC, McFarland GE, Beck AW. Emergent repair of infected aortic aneurysm with contained rupture using a femoral vein neoaortoiliac system. J Vasc Surg Cases Innov Tech. 2021;7(3):502-505doi: 10.1016/j.jvscit.2021.06.003.
Shao, C. C., McFarland, G. E., & Beck, A. W. (2021). Emergent repair of infected aortic aneurysm with contained rupture using a femoral vein neoaortoiliac system. Journal of vascular surgery cases and innovative techniques, 7(3), 502-505. https://doi.org/10.1016/j.jvscit.2021.06.003
Shao, Connie C, et al. "Emergent repair of infected aortic aneurysm with contained rupture using a femoral vein neoaortoiliac system." Journal of vascular surgery cases and innovative techniques vol. 7,3 (2021): 502-505. doi: https://doi.org/10.1016/j.jvscit.2021.06.003
Shao CC, McFarland GE, Beck AW. Emergent repair of infected aortic aneurysm with contained rupture using a femoral vein neoaortoiliac system. J Vasc Surg Cases Innov Tech. 2021 Jul 01;7(3):502-505. doi: 10.1016/j.jvscit.2021.06.003. eCollection 2021 Sep. PMID: 34386681; PMCID: PMC8346548.
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J Vasc Surg Cases Innov Tech. 2021 Jul 01;7(3):502-505. doi: 10.1016/j.jvscit.2021.06.003. eCollection 2021 Sep.

Emergent repair of infected aortic aneurysm with contained rupture using a femoral vein neoaortoiliac system.

Journal of vascular surgery cases and innovative techniques

Connie C Shao, Graeme E McFarland, Adam W Beck

Affiliations

  1. Department of Surgery, University of Alabama at Birmingham, Birmingham, Ala.
  2. Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Alabama at Birmingham, Birmingham, Ala.

PMID: 34386681 PMCID: PMC8346548 DOI: 10.1016/j.jvscit.2021.06.003

Abstract

Infected aortic aneurysms are rare but are associated with high morbidity and mortality. Management involves surgical resection and debridement of the infected aorta and surrounding tissues, arterial reconstruction or bypass, and flap coverage, followed by long-term antibiotic therapy. Autogenous reconstruction using a neoaortoiliac system (NAIS) is a durable form of repair with a decreased risk of reinfection. However, NAIS reconstruction is generally thought to be contraindicated for emergent, but not impending, rupture settings. We present the successful application of NAIS for a contained rupture of an infected infrarenal aneurysm. Use of the NAIS can provide a more durable option for select patients.

© 2021 The Authors.

Keywords: Aortic aneurysm; Autogenous graft; Infected; Mycotic; NAIS; Neoaortoiliac

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