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.

Abstract

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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