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Mycotic aortic aneurysms. A reappraisal
Archives of Surgery (Chicago, Ill. : 1960)
|May 1, 1983
Summary
Mycotic aneurysms, though serious, can be successfully treated. In situ grafting offers a viable option for aortic mycotic aneurysms when diagnosed and managed promptly.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Medical Literature Review
Background:
- Mycotic aneurysms are uncommon vascular lesions with high risks of hemorrhage and sepsis.
- Historically, aortic mycotic aneurysms were considered fatal, often linked to bacterial endocarditis.
Observation:
- A 15-year literature review identified arterial trauma, sepsis, and immune suppression as key risk factors.
- Conventional treatments included aortic ligation and bypass grafting.
Findings:
- Four patients with localized mycotic aortic aneurysms survived after aortic excision and in situ prosthetic graft restoration.
- Survival ranged from 3 to 54 months, averaging 40 months.
Implications:
- Timely diagnosis and aggressive treatment, particularly in situ grafting, can lead to successful outcomes for mycotic aortic aneurysms.
- This approach challenges the historical view of inevitable fatality for these conditions.