A Mycobacterium bovis Mycotic Abdominal Aortic Aneurysm Resulting from Bladder Cancer Treatment, Resection and Reconstruction with a Cryopreserved Aortic Graft

Charles M. Psoinos, University of Massachusetts Medical School
Jessica P. Simons, University of Massachusetts Medical School
Donald T. Baril, University of Massachusetts Medical School
William P. Robinson III, University of Massachusetts Medical School
Andres Schanzer, University of Massachusetts Medical School

Citation: Vasc Endovascular Surg. 2013 Jan;47(1):61-4. doi: 10.1177/1538574412463973. Link to article on publisher's site

Abstract

Mycotic abdominal aortic aneurysms (AAAs) are a clinical challenge for vascular surgeons due to their critical location, surrounding inflammation, risk of rupture, and danger of reinfection following treatment. We present a case of Mycobacterium bovis AAA in a 69-year-old male after treatment with intravesicular bacillus Calmette-Guerin (BCG) therapy for bladder carcinoma. The classical approach for mycotic AAA entails extra-anatomic reconstruction followed by resection with oversewing of the proximal and distal aortic stumps. Alternative in-line reconstruction options have also been advocated. This case illustrates a technically straightforward, durable, in-line repair within an infected field utilizing cryopreserved aortic allograft.