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Related Experiment Videos

[Mycotic aneurysms--A retrospective analysis].

F Klein1, J Drews, K Bürger

  • 1Klinik für Allgemein, Gefäss und Thoraxchirurgie, Klinikum Neubrandenburg, Germany.

Zentralblatt Fur Chirurgie
|January 24, 2002
PubMed
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Mycotic aneurysms, often preceded by infection, require prompt surgical intervention. Treatment strategies vary by location, with in situ reconstruction for aorto-iliac cases and autologous vessels for peripheral arteries, alongside antibiotics.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Atherosclerosis Research

Background:

  • Mycotic aneurysms are rare but serious vascular infections.
  • Often associated with systemic infections like salmonella-enteritis.
  • Can present as pulsatile tumors with perivascular inflammation, especially in peripheral arteries.

Purpose of the Study:

  • To review surgical outcomes for mycotic aneurysms.
  • To evaluate treatment strategies based on aneurysm location.
  • To identify factors influencing surgical urgency and success.

Main Methods:

  • Retrospective analysis of 12 patients treated for mycotic aneurysms between 1994-1999.
  • Surgical interventions included in situ reconstruction with alloplastic material or autologous vessels.

Related Experiment Videos

  • Management involved perivascular debridement, lavage, omentum majus plastic, and antibiotic therapy.
  • Main Results:

    • Aneurysms were located in the aorto-iliac segment (7 patients) or peripheral/visceral arteries (5 patients).
    • Two patients (16.7%) died perioperatively.
    • Eight patients (80%) showed patent reconstructions and no signs of infection during follow-up.

    Conclusions:

    • In situ reconstruction with alloplastic material is recommended for aorto-iliac mycotic aneurysms.
    • Autologous vessels are preferred for peripheral artery reconstruction.
    • Effective antibiotic therapy and surgical debridement are crucial for successful outcomes.