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One-stage vascular surgery for abdominal aortic aneurysm infected by salmonella
K Ala-Kulju1, L Heikkinen, J Salo
1Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Finland.
Abstract:
A case is presented of abdominal aortic aneurysm infected with salmonella enteritidis, maintaining septicaemia. Immediate surgery became necessary because of imminent rupture of the aneurysm. The infected thrombus within the aneurysmal sac was debrided, with irrigation of antibiotic solution, and in situ aorto-iliac reconstruction was carried out. A prolonged course of ciprofloxacine and a short course of vancomycin were administered. Recovery was uneventful. The infection parameters are normal 6 months postoperatively and CT-scan shows no signs of periprosthetic infection. The relevant literature concerning the surgical procedures for mycotic aneurysms is reviewed.