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Case Reports
. 2013 Aug 1;1(3):193-7.
doi: 10.12945/j.aorta.2013.13-017. eCollection 2013 Aug.

Life-Threatening Surgery for Mycotic Aneurysm

Zan K Mitrev  1 , Tanja N Anguseva  1
Affiliations
Case Reports

Life-Threatening Surgery for Mycotic Aneurysm

Zan K Mitrev et al. Aorta (Stamford). .

Abstract

Infected aneurysm (or mycotic aneurysm) is defined as an infectious disease of the wall of an artery with formation of a blind, saccular out-pouching that is contiguous with the arterial lumen. Symptoms are frequently absent or nonspecific during the early stages. Once clinically presented, infected aneurysms are often at an advanced stage of development and associated with complications such as rupture. Nontreatment or delayed treatment of infected aneurysms has a poor outcome, with high morbidity and mortality rate via fulminant sepsis or hemorrhage. In clinically suspected cases, computed tomography is used for diagnosis. Urgent surgery, performed to prevent aortic rupture carries high morbidity and mortality rates.

Keywords: Aorta; Mycotic aneurysm; Surgical treatment.

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Figures

Figure 1.
Figure 1.
(Left panel) Preoperative computed 3D image of aorta with a giant aneurysm of the aortic arch and proximal thoracic aorta, with irregular arterial wall, periaortic edema, periaortic soft-tissue mass (red arrow), and stenosis of left subclavian artery outflow (blue arrow). (Right panel) Postoperative 3D image of the replaced arch and descending thoracic aorta (vascular prosthesis) and with proximal anastomosis (red arrow), distal anastomosis (blue arrow), and reimplanted left subclavian artery with Dacron interposition graft (green arrow); sternal wires on the anterior and left lateral thoracotomy (yellow arrow).
Figure 2.
Figure 2.
(Left panel) Preoperative 3D and angiographic image of pseudoaneurysm with contained rupture (green arrow) on the previously placed prosthesis and distal anastomosis (blue arrow). (Right panel) Postoperative 3D image of the replaced descending thoracic aorta with proximal anastomosis on the previous prosthesis (red arrow). Distal anastomosis with the thoracic aorta (blue arrow), place of cannulation of the prosthesis (yellow arrow).
Figure 3.
Figure 3.
(Left panel) Preoperative 3D topoanatomical image of newly formed aneurysm (blue arrow) on the ascending aorta and the arch involving the outflow of brachiocephalic trunk (green arrow) and ostial stenosis of the left common carotid artery (yellow arrow). (Right panel) Postoperative 3D topoanatomical preview of the replaced ascending aorta (red arrow) and complete arch to the previous prosthesis (blue arrow) with Y prosthesis up to the brachiocephalic trunk (green arrow) and the left common carotid artery (yellow arrow).
See this image and copyright information in PMC

References

    1. Kaufman SL, White RI Jr, Harrington DP, Barth KH, Siegelman SS. Protean manifestations of mycotic aneurysms. AJR Am J Roentgenol. 1978;131:1019–1025. 10.2214/ajr.131.6.1019 - DOI - PubMed
    1. Hsu RB, Chen RJ, Wang SS, Chu SH. Infected aortic aneurysms: clinical outcome and risk factor analysis. J Vasc Surg. 2004;40:30–35. 10.1016/j.jvs.2004.03.020 - DOI - PubMed
    1. Lesèche G, Castier Y, Petit MD, Bertrand P, Kitzis M, Mussot S, et al. Long-term results of cryopreserved arterial allograft reconstruction in infected prosthetic grafts and mycotic aneurysms of the abdominal aorta. J Vasc Surg. 2001;34:616–622. 10.1067/mva.2001.116107 - DOI - PubMed
    1. Miller DV, Oderich GS, Aubry MC, Panneton JM, Edwards WD. Surgical pathology of infected aneurysms of the descending thoracic and abdominal aorta: clinicopathologic correlations in 29 cases (1976 to 1999). Hum Pathol. 2004;35:1112–1120. 10.1016/j.humpath.2004.05.013 - DOI - PubMed
    1. McCready RA, Bryant MA, Divelbiss JL, Chess BA, Chitwood RW, Paget DS. Arterial infections in the new millenium: an old problem revisited. Ann Vasc Surg. 2006;20:590–595. 10.1007/S10016-006-9107-y - DOI - PubMed

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