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Abstract

Purpose:

To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis.

Case Report:

A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured mycotic TAAA extending to the celiac axis. The aneurysm was excluded with a stent-graft soaked in rifampicin and deployed to deliberately occlude the celiac axis for effective distal sealing and fixation. The patient recovered well and was prescribed antibiotic treatment for up to 6 months.

Conclusion:

Endovascular repair of a ruptured TAAA may be a life-saving option. In emergency situations when poor distal anatomy is present, covering the celiac artery with the stent-graft should be considered.

Keywords

thoracoabdominal aortic aneurysm mycotic aneurysm endovascular repair stent-graft infection

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Treatment of a Ruptured Thoracoabdominal Aneurysm with a Stent-Graft Covering the Celiac Axis