# Evolution and surgical management of a Mycobacterium avium complex aortic infection

## TL;DR

A patient with a rare Mycobacterium avium complex infection and AIDS successfully underwent complex surgical treatments for aortic aneurysms.

## Contribution

This case highlights a novel surgical approach using a combination of rifampin-impregnated grafts and cryopreserved homografts for managing aortic infections.

## Key findings

- A ruptured thoracoabdominal aneurysm was repaired using a rifampin-impregnated Dacron graft.
- A cryopreserved cadaveric aortic homograft was successfully used for in situ repair after endovascular bridging.

## Abstract

We present a case describing the successful surgical management of both an infected aneurysm and an aortic graft infection in a patient with disseminated Mycobacterium avium complex infection and AIDS. The patient was a 53-year-old man presenting with a ruptured type V thoracoabdominal aortic aneurysm and an isolated 7.1-cm infrarenal abdominal aortic aneurysm. He underwent emergent repair of his ruptured thoracoabdominal aneurysm using a rifampin-impregnated Dacron graft. This was followed by a temporizing endovascular aortic repair and was eventually bridged with an in situ repair using a cryopreserved cadaveric aortic homograft.