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Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
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SURGICAL TREATMENT OF A SPONTANEOUS RUPTURE OF A MYCOTIC ANEURYSM

Pedro Pinto Sousa1, Sérgio Teixeira2, Rui Almeida2

  • 1Service of Vascular Surgery, Centro Hospitalar Vila Nova de Gaia-Espinho, Portugal.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|March 25, 2022
PubMed

Insights

Ruptured iliac artery aneurysms are rare but life-threatening. Surgical repair, including bypass, offers a feasible solution for these critical cases, ensuring patient recovery.

Area of Science:

  • Vascular Surgery
  • Infectious Disease

Background:

  • Saccular mycotic aorto-iliac aneurysms are uncommon but pose a significant risk of rupture and mortality.
  • Prompt diagnosis and intervention are crucial for managing ruptured aneurysms.

Observation:

  • A 52-year-old male presented with fever, abdominal discomfort, and hemorrhagic shock due to a ruptured left common iliac artery saccular aneurysm.
  • Computed tomographic angiography confirmed the diagnosis of a ruptured saccular aneurysm.

Findings:

  • The patient underwent successful endoaneurismorraphy, iliac artery ligation, and femorofemoral bypass.
  • Blood cultures identified Streptococcus anginosus, and targeted antibiotic therapy was initiated.

Implications:

  • Surgical intervention, despite potential risks, provides a durable solution for complex ruptured aneurysms.
  • This case highlights the successful management of a rare, life-threatening vascular condition.

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