A Mycobacterium bovis Mycotic Abdominal Aortic Aneurysm Resulting from Bladder Cancer Treatment, Resection and Reconstruction with a Cryopreserved Aortic Graft
Citation: Vasc Endovascular Surg. 2013 Jan;47(1):61-4. doi: 10.1177/1538574412463973. Link to article on publisher's site
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.