[Extra-anatomic bypass as therapy of infected bacterial (mycotic) infrarenal aortic aneurysm. A comparative,...

Based on a review of the literature we compared the results of various operative procedures for infrarenal bacterial infected (mycotic) aortic aneurysms. We conclude that the preferred therapy involves the placement of an extraanatomic bypass, resection of the aneurysm and thorough debridement of infected tissue. Obligatory is appropriate systemic antibiotic therapy. The mortality rate has been substantially reduced since the introduction of this therapeutic concept.