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Eur J Cardiothorac Surg 2004;26:221-224
© 2004 Elsevier Science NL

Case report

Endovascular repair for multiple Salmonella mycotic aneurysms of the thoracic aorta presenting with Cardiovocal syndrome

Division of Vascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong China

Received 11 January 2004; received in revised form 8 March 2004; accepted 9 March 2004.

^* Corresponding author. Tel.: +852-28-554962; fax: +852-28-554961
e-mail: acwting{at}graduate.hku.hk

Salmonella mycotic thoracic aortic aneurysm is a rare but life-threatening condition. We report a 59-year-old man with two Salmonella mycotic thoracic aortic aneurysms, presented with fever and chills associated with hoarseness due to left vocal cord palsy (Cardiovocal syndrome). Successful endovascular repair was performed using two Talent thoracic stent-graft devices deployed separately to cover the two mycotic aneurysms. Subsequent computed tomography at 12 months after the operation confirmed exclusion of the two pseudoaneurysms with no endoleak. With potent antibiotics and careful surveillance program, endovascular repair is a possible alternative to conventional open surgery in the management of mycotic thoracic aortic aneurysms, especially in high-risk patients.

Key Words: Endovascular stent-graft • Infected aneurysms • Thoracic aorta

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