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Mycotic Aneurysm in the Aortoiliac Area - Current Options for Treatment
M Krejcí1, R Staffa1, M Dvorák1
1II. Chirurgická Klinika, LF MU a FN u sv. Anny v Brne, Brno, Czech Republic.
Background:
Infection represents a less frequent cause for the development of an abdominal aortic aneurysm. The diagnosis is associated with a high risk of rapir progression and rupture.
Case Reports:
Case 1 is a female operated on urgently for a ruptured mycotic aneurysm of the abdominal aorta. After resection of the aneurysm, we performed in situ replacement using a rifampicin-soaked vascular prosthesis. In case 2, an asymptomatic aneurysm of the right iliac artery was treated by endovascular implantation of a stent-graft. Both patients were treated with antibiotics concurrently and are still alive.
Discussion:
The discussion deals with the up-to-date treatment modalities for mycotic aneurysms in the aorto-iliac region. The indication criteria must be adjusted individually.
Conclusion:
The prognosis of patients with a mycotic aneurysm depends particularly on an early diagnosis.
Insights
Early diagnosis and tailored treatment are crucial for managing mycotic aneurysms, which are rare infections of the aorta and iliac arteries. Prompt intervention improves patient survival rates for these life-threatening conditions.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Aorto-iliac Aneurysms
Background:
- Mycotic aneurysms, infections of the aorta or iliac arteries, are uncommon but carry a high risk of rapid progression and rupture.
- Prompt diagnosis is critical for improving patient prognosis.
Observation:
- Case 1: Urgent surgery for a ruptured abdominal aortic mycotic aneurysm treated with in situ replacement using a rifampicin-soaked prosthesis.
- Case 2: Endovascular stent-graft implantation for an asymptomatic right iliac artery mycotic aneurysm.
Findings:
- Both patients received concurrent antibiotic therapy and remain alive.
- Successful management involved a combination of surgical intervention, endovascular techniques, and antibiotics.
Implications:
- Treatment strategies for mycotic aneurysms require individualized approaches based on specific patient criteria.
- Advances in surgical and endovascular techniques, alongside antibiotic therapy, offer viable options for managing these complex infections.
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