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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
Varcoe R. L. 1, 2, Lennox A. F. 1
1 Department of Surgery, Prince of Wales Hospital, Sydney, Australia;
2 University of New South Wales, Sydney, Australia
Ruptured mycotic aneurysms of the aorta are a particularly challenging condition to treat. They represent a malignant and unstable pathology which result in high associated mortality. We present a case of a totally percutaneous endovascular solution for a ruptured mycotic peri-visceral abdominal aortic aneurysm in an obese, immunosuppressed patient with multiple comorbidities who was not a candidate for open surgery. Chimney grafts were used to run in parallel to a tapered aortic stent-graft and maintain visceral perfusion with the aim of sealing the aneurysm. This represents one off-the-shelf solution for this vexing aortic syndrome.