Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine
Bacillus Calmette-Guérin (BCG) vaccine has been successfully used to treat bladder cancer. However, sporadic cases of mycotic arterial aneurysms have been reported. These patients typically develop a Mycobacterium bovis infection of an existing aneurysm or graft. In the present report, we have descr...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842872100191X |
| _version_ | 1818157487282454528 |
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| author | Andrew E. Liechty, MD Albert Pacifico, MD Peter Brant-Zawadzki, MD |
| author_facet | Andrew E. Liechty, MD Albert Pacifico, MD Peter Brant-Zawadzki, MD |
| author_sort | Andrew E. Liechty, MD |
| collection | DOAJ |
| description | Bacillus Calmette-Guérin (BCG) vaccine has been successfully used to treat bladder cancer. However, sporadic cases of mycotic arterial aneurysms have been reported. These patients typically develop a Mycobacterium bovis infection of an existing aneurysm or graft. In the present report, we have described the case of a patient with a ruptured nonaneurysmal abdominal aorta years after intravesicular BCG therapy. Emergent aortic endograft repair was successful. After subsequent evaluation confirmed M. bovis infection, the patient was treated with a prolonged course of antimycobacterial therapy. Vascular surgeons should maintain suspicion for atypical aortic ruptures in patients with exposure to intravesicular BCG therapy. |
| first_indexed | 2024-12-11T15:14:58Z |
| format | Article |
| id | doaj.art-d7b6f0e0f0f84296836bb4f7c6c49158 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-11T15:14:58Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-d7b6f0e0f0f84296836bb4f7c6c491582022-12-22T01:00:37ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-03-01811922Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccineAndrew E. Liechty, MD0Albert Pacifico, MD1Peter Brant-Zawadzki, MD2Elson S. Floyd College of Medicine, Spokane, Wash; Correspondence: Andrew E. Liechty, MD, Elson S. Floyd College of Medicine, Spokane, WashProvidence Medical Center, Everett, WashProvidence Medical Center, Everett, WashBacillus Calmette-Guérin (BCG) vaccine has been successfully used to treat bladder cancer. However, sporadic cases of mycotic arterial aneurysms have been reported. These patients typically develop a Mycobacterium bovis infection of an existing aneurysm or graft. In the present report, we have described the case of a patient with a ruptured nonaneurysmal abdominal aorta years after intravesicular BCG therapy. Emergent aortic endograft repair was successful. After subsequent evaluation confirmed M. bovis infection, the patient was treated with a prolonged course of antimycobacterial therapy. Vascular surgeons should maintain suspicion for atypical aortic ruptures in patients with exposure to intravesicular BCG therapy.http://www.sciencedirect.com/science/article/pii/S246842872100191XBCG vaccineEVAR treatmentInfected graftMycotic pseudoaneurysmProphylaxis |
| spellingShingle | Andrew E. Liechty, MD Albert Pacifico, MD Peter Brant-Zawadzki, MD Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine Journal of Vascular Surgery Cases and Innovative Techniques BCG vaccine EVAR treatment Infected graft Mycotic pseudoaneurysm Prophylaxis |
| title | Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine |
| title_full | Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine |
| title_fullStr | Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine |
| title_full_unstemmed | Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine |
| title_short | Successful endovascular treatment of abdominal aortic rupture secondary to bacillus Calmette-Guérin vaccine |
| title_sort | successful endovascular treatment of abdominal aortic rupture secondary to bacillus calmette guerin vaccine |
| topic | BCG vaccine EVAR treatment Infected graft Mycotic pseudoaneurysm Prophylaxis |
| url | http://www.sciencedirect.com/science/article/pii/S246842872100191X |
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