Successful Emergent Endovascular Repair of a Ruptured Mycotic XXXX .

@entity662 @entity5880 @entity3256 @entity697 @entity1 @entity101 @entity1353 @entity1070 @entity794 @entity2348 @entity2334 @entity439 @entity397 @entity1215 @entity204 @entity1756
BACKGROUND: Mycotic thoracic aortic @entity439 are a life-threatening diagnosis and carry a high risk of morbidity and mortality in the perioperative setting. Traditional open repair consists of debridement, drainage, and either in situ or extra-anatomic bypass. @entity697 portends a dismal prognosis; however, emergent endovascular repair of ruptured @entity5880 has been described in the literature and we present a case of successful endovascular treatment of a ruptured mycotic descending @entity2334 . CASE REPORT: We report the case of a 42-year-old male with @entity101 and active intravenous drug use who presented with 3 weeks of @entity662 , @entity1353 , and hemoptysis, and on computed tomography scan was found to have a contained 4.1-cm ruptured mycotic @entity2334 . Blood cultures were positive for @entity3256 -resistant @entity794 . Emergent repair was recommended because of likelihood of further @entity397 and @entity204 . Thoracic endovascular aortic repair (TEVAR) was performed using a @entity1215 -soaked stent graft without complication. At 2-year follow-up, the @entity1 was asymptomatic and imaging demonstrated the stent graft in excellent position, without @entity1070 , and complete resolution of the @entity439 sac. CONCLUSIONS: TEVAR can be safely employed to treat a @entity1756 when open repair is not possible because of @entity1 's comorbidity or complex @entity397 , as these @entity1 face imminent @entity204 . Long-term follow-up is necessary for detection of @entity1070 , recurrence, or propagation of the @entity439 , and persistent @entity2348 .
