Endovascular treatment for infectious abdominal aortic aneurysm: A case series

Abstract

This retrospective study examined 12 patients with infectious abdominal aortic aneurysms who underwent endovascular aneurysm repair (EVAR). The majority were older males with saccular aneurysms. The 30-day and 1-year mortality rates were 33 % and 50 %, respectively. Two patients required reoperation for infection extension. Among the six patients with saccular aneurysms, complete aneurysm shrinkage was observed post-EVAR. The study suggests EVAR may effectively treat certain infectious abdominal aneurysms, particularly saccular types. However, more evidence is needed to determine its suitability. Careful patient selection, considering factors such as aneurysm morphology, is critical as infection control can be insufficient in some cases. Overall, this small case series indicates that EVAR may be a suitable option for select cases of saccular infectious abdominal aortic aneurysms.

Keywords

• Aneurysm
• EVAR
• Infected
• Mycotic
• Aorta