Balloon occlusion technique with ethylene vinyl alcohol for the treatment of a pediatric pulmonary artery mycotic aneurysm

Abstract

Mycotic aneurysms, which may occur anywhere in the body, may be prone to spontaneous rupture. Antibiotic therapy combined with surgical debridement without or with revascularization has been described as potential treatment options. This report describes a combined balloon occlusion technique with the injection of ethylene-vinyl alcohol copolymer for the treatment of a mycotic aneurysm of the pulmonary artery secondary to infective endocarditis. Similar techniques have been described in the cerebral circulation and may obviate concerns for coil erosion, non-target embolization, or superinfection.

Surgical approach to a mycotic aneurysm of the pulmonary artery presenting with hemoptysis – A case report and a review of the literature

“…LusitaniaeRemoval of thrombus in right ventricular outflow tract+Luo, 2015 [33]F29PDA, pulmonary endocarditisNS-NSClosure of PDA+Calais, 2017 [34]M36Endocarditis after Ross procedureNS-NSPulmonary valve replacement+Knowles, 2017 [35]F16Operated Tetralogy of Fallot, endocarditisNS-S. AureusSurgical revision of conduit+Piracha, 2018 [36]M68Chronic right upper lobe cavityNS+NegativeCoil embolization-Srinivasa, 2018 [37]F13DiGeorge syndrome, repair of truncus arteriosus, pulmonary artery hypoplasia, endocarditisNS-StapfylococcusBalloon occlusion-PDA: patent ductus arteriosus, VSD: ventricular septal defect, CVK: central venous catheter, NS: not speficied, CNS: coagulase-negative staphylococcus.A search of the PubMed database was undertaken on 05/07/18 with the search terms (“Aneurysm, Infected” [Mesh] AND “Pulmonary Artery”[Mesh]. 89 articles were returned.…”