Rupal S Parikh1, Shiyi Li2, Christopher Shackles3, Tamim Khaddash4. 1. Department of Interventional Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA. rupalparikh90@gmail.com. 2. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. 3. Interventional Institute at HolyName Medical Center, HolyName Medical Center, Teaneck, NJ, USA. 4. Department of Interventional Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA.
Abstract
BACKGROUND: Mycotic aneurysms are rare vascular lesions, occurring in 0.6-2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. CASE PRESENTATION: This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting, in an oncologic patient without alternative therapeutic options. CONCLUSION: Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting, particularly as a last resort in patients without surgical treatment options.
BACKGROUND:Mycotic aneurysms are rare vascular lesions, occurring in 0.6-2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. CASE PRESENTATION: This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting, in an oncologic patient without alternative therapeutic options. CONCLUSION:Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting, particularly as a last resort in patients without surgical treatment options.
Authors: Karl Sörelius; Kevin Mani; Martin Björck; Petr Sedivy; Carl-Magnus Wahlgren; Peter Taylor; Rachel E Clough; Oliver Lyons; Matt Thompson; Jack Brownrigg; Krassi Ivancev; Meryl Davis; Michael P Jenkins; Usman Jaffer; Matt Bown; Zoran Rancic; Dieter Mayer; Jan Brunkwall; Michael Gawenda; Tilo Kölbel; Elixène Jean-Baptiste; Frans Moll; Paul Berger; Christos D Liapis; Konstantinos G Moulakakis; Marcus Langenskiöld; Håkan Roos; Thomas Larzon; Artai Pirouzram; Anders Wanhainen Journal: Circulation Date: 2014-11-05 Impact factor: 29.690