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Customized Endoluminal Graft to Treat a Suspected Saccular Thoracoabdominal Mycotic Aneurysm

^a Northwestern Memorial Hospital, Bluhm Cardiovascular Institute, Chicago, Illinois
^b Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital and Arizona Heart Institute, Phoenix, Arizona

Accepted for publication August 14, 2007.

^_* Address correspondence to Dr Kpodonu, Northwestern Memorial Hospital, Bluhm Cardiovascular Institute, 201 East Huron Street, Galter 11-140, Chicago, IL 60611 (Email: jkpodonu{at}yahoo.com).

Open surgical repair of mycotic aneurysm is associated with a high surgical morbidity and mortality. The role of endovascular graft repair of mycotic aneurysm remains controversial because the graft material remains in contact with possibly infected tissue. We report an endovascular technique of customizing an abdominal endoluminal graft component to treat a suspected saccular thoracoabdominal mycotic aneurysm involving the takeoff of the celiac trunk.

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