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Diagnosis and management of a ruptured popliteal mycotic pseudoaneurysm

Anahita Dua1, SreyRam Kuy2, Sapan S Desai3

  • 1Division of Vascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, USA.

Vascular
|September 24, 2014
PubMed

Insights

Ruptured mycotic popliteal aneurysms, a rare emergency, require swift diagnosis and intervention. This case highlights successful limb salvage using reverse saphenous vein bypass in a patient with infective endocarditis.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Cardiology

Background:

  • Infected popliteal aneurysms (mycotic aneurysms) are uncommon yet critical vascular emergencies.
  • Septic embolization from infective endocarditis can lead to these aneurysms, posing risks of rupture and sepsis.
  • Managing acute ischemia in septic patients is complex, demanding prompt diagnosis and intervention.

Observation:

  • A case of a ruptured mycotic popliteal artery aneurysm secondary to infective endocarditis is presented.
  • The patient presented with symptoms indicative of a surgical emergency.
  • Diagnosis involved identifying the source of infection and the aneurysm.

Findings:

  • Successful management was achieved through a reverse saphenous vein bypass.
  • This intervention aimed to restore blood flow and address the limb ischemia.
  • The patient's life and limb were preserved through timely and multidisciplinary care.

Implications:

  • This case underscores the importance of a multidisciplinary approach in managing complex vascular infections.
  • Reverse saphenous vein bypass can be an effective treatment for ruptured mycotic popliteal aneurysms.
  • Early diagnosis and intervention are crucial for optimal outcomes in these high-risk patients.
Keywords:
Popliteal mycotic pseudoaneurysmpopliteal pseudoaneurysm

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