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CASE REPORT
Stent graft exclusion of a mycotic profunda femoris artery pseudoaneurysm with 2-year follow-up
  1. Ahmed Aboubakr-Esedik Bakr,
  2. James Harding,
  3. Asif Mahmood and
  4. Devaraj Srinivasamurthy
  1. Vascular Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
  1. Correspondence to Mr Ahmed Aboubakr-Esedik Bakr, ahmed.bakr{at}nhs.net

Abstract

Mycotic pseudoaneurysms develop at sites of intimal disruption where bacterial invasion occurs. The conventional treatment involves arterial ligation, excision and debridement, followed by a bypass procedure at a later point. Recently, covered stent grafts have been used to treat mycotic arterial aneurysms either as temporary or definitive procedures. However, this is associated with a risk of stent graft infection, recurrence and rupture. There is a paucity of long-term results on the durability of such endovascular stent graft procedures in mycotic arterial pseudoaneurysms. We describe a successful endovascular covered stent repair of a mycotic profunda femoris artery pseudoaneurysm and follow-up of this repair at 2 years.

  • interventional radiology
  • vascular surgery

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Footnotes

  • Contributors AAEB wrote the paper. DS was the consultant that led the care for this patient and helped in revising the case presentation write up. AM assisted in the management of this patient. JH was the interventional radiologist who advised on the treatment, completed the stent graft insertion and provided the images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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