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- Title
Mycotic Pulmonary Aneurysm Managed With Covered Stent.
- Authors
Alquichire-Luna, Camilo A.; García-Bohórquez, Diego F.; Hernández-Vargas, Juan C.; García-Bohórquez, Jhoel A.; Fajardo-Rivero, Javier E.
- 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.
- Subjects
ANEURYSM surgery; MORTALITY risk factors; BACTEREMIA; HEMOPTYSIS; FEBRILE neutropenia; LUNG diseases; CANCER chemotherapy; SURGICAL stents; ACUTE myeloid leukemia; PULMONARY artery; DISEASE relapse; TREATMENT effectiveness; KLEBSIELLA infections; SEPSIS; MYCOSES; PSEUDOMONAS diseases; ENDOVASCULAR surgery; RARE diseases; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2022, Vol 56, Issue 1, p117
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744211042179