CardioVascular and Interventional Radiology

, Volume 30, Issue 5, pp 1029–1032 | Cite as

Endovascular Repair of a Ruptured Mycotic Aneurysm of the Common Iliac Artery

  • R. MofidiEmail author
  • R. Bhat
  • J. Nagy
  • G. D. Griffiths
  • S. Chakraverty
  • On behalf of the East of Scotland Vascular Network
Case Report


This report describes the case of a ruptured mycotic aneurysm of the left common iliac artery, successfully treated with endovascular stent-grafting. A 64-year-old woman underwent diagnostic coronary angiography complicated by an infected hematoma of the left groin. Seven days later, she developed methicillin-resistant Staphylococcus aureus septicemia and CT scan evidence of perivascular inflammation around the left common iliac artery. This was followed by rupture of a mycotic aneurysm of the left common iliac artery. The lesion was successfully treated with a stent-graft and prolonged antibiotic therapy, and the patient remains free of infection 10 months later. Accumulating evidence suggests that endovascular repair can be used safely for the repair of ruptured infected aneurysms.


Ruptured Mycotic aneurysm Common iliac artery Endovascular repair 


  1. 1.
    Bell RE, Taylor PR, Aukett M, Evans GH, Reidy JF (2003) Successful endoluminal repair of an infected thoracic pseudoaneurysm caused by methicillin-resistant Staphylococcus aureus. J Endovasc Ther 10(1):29–32PubMedCrossRefGoogle Scholar
  2. 2.
    Clarke MG, Thomas HG, Chester JF (2005) MRSA-infected external iliac artery pseudoaneurysm treated with endovascular stenting. Cardiovasc Intervent Radiol 28(3):364–366PubMedCrossRefGoogle Scholar
  3. 3.
    Koeppel TA, Gahlen J, Diehl S, Prosst RL, Dueber C (2004) Mycotic aneurysm of the abdominal aorta with retroperitoneal abscess: successful endovascular repair. J Vasc Surg 40(1):164–166PubMedCrossRefGoogle Scholar
  4. 4.
    Qu L, Jing Z, Feng R (2005) Endoaortic stent grafting of a giant infected hepatic-celiac pseudoaneurysm. J Vasc Surg 42(1):159–162PubMedCrossRefGoogle Scholar
  5. 5.
    Beland MD, Soares GM, Dubel GJ, Forte MP, Murphy TP (2005) Endovascular repair of a thoracic aorta mycotic pseudoaneurysm in a patient with history of bacteroides fragilis sepsis and leprosy. J Vasc Interv Radiol 16(2; Pt 1):298–300 PubMedGoogle Scholar
  6. 6.
    Ting AC, Cheng SW, Ho P, Poon JT (2004) Endovascular repair for multiple Salmonella mycotic aneurysms of the thoracic aorta presenting with Cardiovocal syndrome. Eur J Cardiothorac Surg 26(1):221–224 PubMedCrossRefGoogle Scholar
  7. 7.
    Aytekin C, Boyvat F, Yildirim E, Coskun M (2002) Endovascular stent-graft placement as emergency treatment for ruptured iliac pseudoaneurysm. Cardiovasc Intervent Radiol 25(4):320–322PubMedCrossRefGoogle Scholar
  8. 8.
    Sanada J, Matsui O, Arakawa F, Tawara M, Endo T, Ito H, Ushijima S, Endo M, Ikeda M, Miyazu K (2005) Endovascular stent-grafting for infected iliac artery pseudoaneurysms. Cardiovasc Intervent Radiol 28(1):83–86PubMedCrossRefGoogle Scholar
  9. 9.
    Corso JE, Kasirajan K, Milner R (2005) Endovascular management of ruptured, mycotic abdominal aortic aneurysm. Am Surg 71(6):515–517PubMedGoogle Scholar
  10. 10.
    Serafino G, Vroegindeweij D, Boks S, van der Harst E (2005) Mycotic aneurysm of the celiac trunk: from early CT sign to rupture. Cardiovasc Intervent Radiol 28(5):677–680PubMedCrossRefGoogle Scholar
  11. 11.
    Kyriakides C, Kan Y, Kerle M, Cheshire NJ, Mansfield AO, Wolfe JH (2004) Eleven-year experience with anatomical and extra-anatomical repair of mycotic aortic aneurysms. Eur J Vasc Endovasc Surg 27(6):585–589PubMedCrossRefGoogle Scholar
  12. 12.
    Boules TN, Selzer F, Stanziale SF, Chomic A, Marone LK, Dillavou ED, Makaroun MS (2006) Endovascular management of isolated iliac artery aneurysms. J Vasc Surg 44(1):29–37PubMedCrossRefGoogle Scholar
  13. 13.
    Greenberg RK, West K, Pfaff K, Foster J, Skender D, Haulon S, Sereika J, Geiger L, Lyden SP, Clair D, Svensson L, Lytle B (2006) Beyond the aortic bifurcation: branched endovascular grafts for thoracoabdominal and aortoiliac aneurysms. J Vasc Surg 43(5):879–886PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • R. Mofidi
    • 1
    • 2
    Email author
  • R. Bhat
    • 1
  • J. Nagy
    • 1
  • G. D. Griffiths
    • 1
  • S. Chakraverty
    • 1
  • On behalf of the East of Scotland Vascular Network
  1. 1.Department of Vascular Surgery and RadiologyNinewells HospitalDundeeUK
  2. 2.EdinburghUK

Personalised recommendations