Cor Vasa 2018, 60(5):e551-e555 | DOI: 10.1016/j.crvasa.2017.12.001

Infectious aneurysm of the ascending aorta - Successful conservative treatment in a high-risk patient

Václav Pavliňák^*, Petr Vařejka, Jean-Claude Lubanda

II. interní klinika kardiologie a angiologie, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze, Praha, Česká republika

Infectious aortic aneurysm is a rare disease requiring early and comprehensive management to prevent the development of serious complications. While surgical repair is still the gold standard, an endovascular approach is an alternative for some patients. Conservative management is traditionally associated with the worst prognosis. We report a case of an infectious aneurysm of the ascending aorta with an atypical clinical manifestation and a complicated diagnostic process, which resulted in successful comprehensive conservative management of a high-risk patient who rejected radical surgical treatment.

Keywords: Antibiotics; Aortic repair; Endovascular aortic repair; Graft; Infectious aortic aneurysm; Mycotic aortic aneurysm; Stentgraft; Thoracic endovascular aortic repair

Received: October 10, 2017; Accepted: December 1, 2017; Published: October 1, 2018  Show citation