Work

Pararenal aortic pseudoaneurysm secondary to renal stent infection

Year: 2025

Type: article

Abstract: This report presents a case of a 57-year-old woman with protein C deficiency who developed a renal artery covered stent infection owing to Staphylococcus lugdunensis infection, resulting in a pararenal aortic pseudoaneurysm. She had previously undergone a thrombectomy and covered stent placement owing to renal artery thrombosis before developing recurrent thrombosis, infection, and a pseudoaneurysm. She required open repair with nephrectomy, aortic debridement, rifampin-soaked Dacron patch angioplasty, and a prolonged antibiotic course. Her anatomy and clinical presentation precluded endovascular options, highlighting the complexity of such cases. This report emphasizes the need for heightened awareness of rare stent infections, individualized surgical planning, and the importance of antibiotic prophylaxis during endovascular procedures.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101988

Authors: Kelsey R. Lambou, Morgan G. Stadler, B. Seth Decamp, Kara Hessel

Institution: University of Kansas Medical Center

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