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Life-Threatening Surgery for Mycotic Aneurysm
Zan K Mitrev1, Tanja N Anguseva1
1Special Hospital for Surgery "FILIP II", Skopje, Macedonia.
Abstract:
Infected aneurysm (or mycotic aneurysm) is defined as an infectious disease of the wall of an artery with formation of a blind, saccular out-pouching that is contiguous with the arterial lumen. Symptoms are frequently absent or nonspecific during the early stages. Once clinically presented, infected aneurysms are often at an advanced stage of development and associated with complications such as rupture. Nontreatment or delayed treatment of infected aneurysms has a poor outcome, with high morbidity and mortality rate via fulminant sepsis or hemorrhage. In clinically suspected cases, computed tomography is used for diagnosis. Urgent surgery, performed to prevent aortic rupture carries high morbidity and mortality rates.
Insights
Infected aneurysms, or mycotic aneurysms, are artery infections often presenting late with severe complications. Early diagnosis and urgent surgical intervention are critical but carry significant risks.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Radiology
Background:
- Infected aneurysms involve arterial wall infection leading to saccular outpouchings.
- Early symptoms are often nonspecific, delaying diagnosis and treatment.
Observation:
- Advanced stage presentation is common, increasing risk of rupture, sepsis, and hemorrhage.
- Computed tomography is the primary diagnostic tool for suspected cases.
Findings:
- Nontreatment or delayed treatment results in poor outcomes with high morbidity and mortality.
- Urgent surgical intervention to prevent rupture also carries substantial risks.
Implications:
- Highlights the critical need for prompt diagnosis and management of infected aneurysms.
- Emphasizes the high-risk nature of both the condition and its necessary treatment.
- Underscores the importance of advanced imaging in identifying these life-threatening vascular infections.
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