Work

Hybrid bypass exclusion of isolated common iliac artery mycotic aneurysm

Year: 2025

Type: article

Abstract: The management of mycotic aneurysms traditionally involves open surgical resection, extensive debridement, and in-situ revascularization, which carry substantial perioperative morbidity and mortality. Endovascular aneurysm repair offers a less invasive alternative, but risks persistent infection owing to direct prosthetic implantation onto infected aortic segments. We present a novel hybrid approach for common iliac artery mycotic aneurysms that avoids direct endoprosthesis placement onto infected aortic tissue. Performed in two patients, it combines aortouni-iliac endovascular aneurysm repair, contralateral distal embolization, and a crossover femoral bypass. Surveillance confirmed successful aneurysm exclusion.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101813

Authors: Vanessa Irvine, Kalpana Vijaykumar, Edward Choke Tieng Chek, Darius Aw Kang Lie

Institutions: Liverpool Hospital, Ministry of Health, National University of Singapore, Duke-NUS Medical School

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250