CASI CLINICI   

Chirurgia 2015 April;28(2):69-71

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endovascular aneurysm repair for a group A streptococcus infected aneurysm of the abdominal aorta

Saziye K. ¹, Olivier R. ², Afksendyios K. ¹

¹ Service of Cardiovascular Surgery, University Hospital Geneva, Geneva, Switzerland; ² Service of Nuclear Medicine, University Hospital Geneva, Geneva, Switzerland

An infected aneurysm of the abdominal aorta due to a microorganism is an unusual finding, associated with high morbidity and mortality. The recommendations are antibiotic therapy and open-abdominal surgery. In this case report, we document an 85-year-old woman with a group A streptococcus (S. pyogenes) infected abdominal aortic aneurysm, who undergoes successful treatment with an aortic stent graft and antibiotherapy. We demonstrate that the use of endovascular aneurysm repair (EVAR) for mycotic aortic aneurysms due a group A streptococcus (S. pyogenes) simplifies the procedure and provides a good alternative in a high-risk patient.