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Updated: Jul 5, 2026

Murine Model of Central Venous Stenosis using Aortocaval Fistula with an Outflow Stenosis
Published on: July 11, 2019
A case of mycotic common iliac aneurysm in a patient with ventriculoperitoneal shunt
Joseph DiBello1, Justin Smith1, Michael Sheehan1
1Division of General Surgery, Department of Surgery, Summa Health, Akron, OH.
Abstract:
Aortoiliac mycotic aneurysm is an uncommon and deadly condition associated with significant perioperative morbidity. We present a case of common iliac mycotic pseudoaneurysm managed with debridement, vessel ligation, and extra-anatomic reconstruction owing to systemic illness. Notably, the patient had an implanted ventriculoperitoneal shunt for a history of cerebral aneurysm and resulting hydrocephalus. This report discusses the ultimately successful management of a large aortoiliac mycotic aneurysm. The patient did contend with bacterial meningitis postoperatively, likely owing to an ascending infection of the aforementioned shunt.
Insights
A rare aortoiliac mycotic aneurysm was successfully treated with debridement, ligation, and reconstruction. Management was complex due to a ventriculoperitoneal shunt, leading to postoperative meningitis.
Area of Science:
- Vascular Surgery
- Infectious Disease
Background:
- Aortoiliac mycotic aneurysms are rare, life-threatening vascular infections.
- Significant perioperative morbidity is associated with these conditions.
- Patients may have complex medical histories, including shunts for hydrocephalus.
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