Interv Akut Kardiol. 2023;22(2):95-98 | DOI: 10.36290/kar.2023.014

Endovascular treatment for infectious aortitis

Pavel Procházka, Jozef Kučerák, David Ambrož, Johana Horáková, Jan Bělohlávek, Aleš Linhart
2. interní klinika kardiologie a angiologie, Všeobecná fakultní nemocnice v Praze

Infectious aortitis is a serious acute disease with a high mortality rate. According to current guidelines, its treatment consists of antibiotic therapy and radical surgical treatment, but since this disease also affects patients of advanced age with multiple internal medicine comorbidities, radical surgical treatment is often not possible. Endovascular therapy in combination with prolonged antibiotic therapy is often the only possible treatment and brings satisfactory results. Below we present a case of a patient treated in our centre and a review of the literature.

Keywords: infectious aortitis, endovascular therapy, thoracic stentgraft.

Received: May 12, 2022; Revised: April 5, 2023; Accepted: April 19, 2023; Published: May 9, 2023  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Procházka P, Kučerák J, Ambrož D, Horáková J, Bělohlávek J, Linhart A. Endovascular treatment for infectious aortitis. Interv Akut Kardiol. 2023;22(2):95-98. doi: 10.36290/kar.2023.014.
Download citation

References

  1. Lopes RJ, Almeida J, Dias PJ, et al. Infectious thoracic aortitis: a literature review. Clin Cardiol. 2009 Sep;32(9):488-90. doi: 10.1002/clc.20578. PMID: 19743492; PMCID: PMC6653599. Go to original source... Go to PubMed...
  2. Osler W. The Gulstonian Lectures, on Malignant Endocarditis. Br Med J. 1885 Mar 14;1(1263):522-6. Go to original source... Go to PubMed...
  3. Rimac G, Lafleur A. Acute infectious aortitis presenting as pyelonephritis. Am J Emerg Med. 2018 Sep;36(9):1722.e5-1722.e7. doi: 10.1016/j.ajem.2018. 06. 018. Epub 2018 Jun 7. PMID: 29903668. Go to original source...
  4. Guffroy B, Villeval­‑Federici L, Heimburger C, et al. Management of Salmonella typhimurium sepsis with thoracic infectious aortitis using 18F­‑FDG PET/CT. J Nucl Cardiol. 2018 Feb;25(1):356-357. doi: 10.1007/s12350-017-0805-3. PMID: 28188443. Go to original source... Go to PubMed...
  5. Hsu RB, Lin FY. Infected aneurysm of the thoracic aorta. J Vasc Surg. 2008 Feb;47(2):270-6. doi: 10.1016/j.jvs.2007. 10. 017. PMID: 18241748. Go to original source... Go to PubMed...
  6. Wanhainen A, Verzini F, van Herzele I, et al. European Society for Vascular Surgery (ESVS) 2019 clinical practice guidelines on the management of abdominal aorto­‑iliac artery ane­urysms. Eur J Vasc Endovasc Surg. 2019;57:8e 93. Go to original source... Go to PubMed...
  7. Semba CP, Sakai T, Slonim SM, et al. Mycotic aneurysms of the thoracic aorta: repair with use of endovascular stent­‑grafts. J Vasc Interv Radiol. 1998;9(1 Pt 1):33-40. Go to original source... Go to PubMed...
  8. Sedivy P, Spacek M, El Samman K, Belohlavek O, Mach T, Jindrak V, Rohn V, Stadler P. Endovascular treatment of infected aortic aneurysms. Eur J Vasc Endovasc Surg. 2012 Oct;44(4):385-94. doi: 10.1016/j.ejvs.2012. 07. 011. Epub 2012 Aug 20. PMID: 22917674. Go to original source...
  9. Sörelius K, Mani K, Björck M, et al; European MAA collaborators. Endovascular treatment of mycotic aortic aneurysms: a European multicenter study. Circulation. 2014 Dec 9;130(24):2136-42. doi: 10.1161/CIRCULATIONAHA.114.009481. Epub 2014 Nov 5. PMID: 25378548. Go to original source... Go to PubMed...
  10. Sörelius K, Wanhainen A, Wahlgren CM, et al. Nationwide Study on Treatment of Mycotic Thoracic Aortic Aneurysms. Eur J Vasc Endovasc Surg. 2019 Feb;57(2):239-246. doi: 10.1016/j.ejvs.2018. 08. 052. Epub 2018 Oct 17. PMID: 30340857. Go to original source...




Interventional Cardiology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.