Mycotic Pulmonary Aneurysm Managed With Covered Stent

Vasc Endovascular Surg. 2021 Oct 8:15385744211042179. doi: 10.1177/15385744211042179. Online ahead of print.

ABSTRACT

Mycotic aneurysms are vascular dilations caused by fungal or bacterial infections. The involvement of the pulmonary artery or its branches is extremely rare with only a few cases reported in the literature posing a diagnostic challenge. We present the case of a young adult patient with acute myeloid leukemia undergoing chemotherapy, who presented with febrile neutropenia, recurrent bacteremia due to Pseudomona Aeruginosa and Klebsiella Pneumonie and hemoptysis. The management was unconventional, opting for the placement of a covered endovascular stent, being the first successful case with this reported technique. Rapid detection of this pathology and individualization in the management of each patient is essential because of high risk of mortality due to sepsis and rupture of the aneurysm.

PMID:34625008 | DOI:10.1177/15385744211042179