Endovascular repair combined with staged drainage for the treatment of infectious aortic aneurysm: a case report.

Zeng, Zhaoxiang; Li, Zhenjiang; Zhao, Yuxi; Liu, Junjun; Feng, Jiaxuan; Jing, Zaiping; Feng, Rui

BACKGROUND Infectious aortic aneurysm, defined as a focal dilation of an infectious arterial wall, is an uncommon life-threatening disease. Compared with open surgery, endovascular repair yields acceptable clinical outcomes. However, residual tissue infection may increase the risk of secondary intervention. Here, we present a successful case of endovascular repair combined with staged drainage for the treatment of infectious aortic aneurysm. CASE PRESENTATION A 58-year-old man presented to hospital with a 3-day history of lower back pain radiating to the back associated with fever. The dynamic imaging characteristics revealed rapid progress of infectious abdominal aortic aneurysm with negative blood culture. The patient underwent endovascular repair and salmonella enteritidis was identified through drain culture. CONCLUSIONS Endovascular procedure and staged drainage can be feasible and effective option in selected cases.