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Septic false aneurysms. Report of three cases
Acta Chirurgica Scandinavica
|January 1, 1982
Summary
Septic false aneurysms, often appearing after severe sepsis, can be successfully treated with surgery. Surgical intervention involving ligation and excision, with or without reconstruction, led to positive outcomes in all reported cases.
Area of Science:
- Vascular Surgery
- Infectious Disease Management
- Interventional Radiology
Background:
- Septic false aneurysms are rare but serious complications following severe septic episodes.
- Early diagnosis and prompt intervention are crucial for managing these potentially life-threatening conditions.
Observation:
- Three cases of septic false aneurysms are presented, occurring after severe sepsis.
- Aneurysms were located in the common iliac and superficial femoral arteries, presenting as pulsatile masses.
- Diagnosis was confirmed using angiography.
Findings:
- Surgical management included antibiotic coverage, artery ligation, and aneurysm excision.
- Vascular reconstruction was performed selectively based on intraoperative assessment.
- One patient required delayed reconstruction for claudication, while others did not.
Implications:
- Surgical treatment of septic false aneurysms can lead to successful limb salvage.
- Selective approach to vascular reconstruction may be effective in select cases.
- This case series highlights effective management strategies for septic false aneurysms.