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Infected aneurysms--clinical study of 5 cases
T Fujimura1, H Fujii, K Ariizumi
1Department of Surgery I, School of Medicine, Tokai University, Kanagawa, Japan.
The Tokai Journal of Experimental and Clinical Medicine
|February 1, 1996
Summary
Infected aneurysms have a poor prognosis, but surgical intervention can improve outcomes. In situ revascularization with omental wrapping is recommended for optimal treatment of infected aneurysms.
Area of Science:
- Vascular Surgery
- Infectious Diseases
Background:
- Infected aneurysms, particularly abdominal aortic aneurysms, are associated with high morbidity and mortality.
- Surgical management aims to eradicate infection and restore arterial continuity.
Observation:
- Five patients with infected aneurysms (3 abdominal aortic, 2 iliac artery) underwent surgical treatment.
- Two abdominal aortic aneurysm cases had extra-anatomic bypass; one had in situ replacement.
- Complications at the aortic stump closure site were noted in extra-anatomic bypass cases.
Findings:
- In situ revascularization followed by omental wrapping resulted in an uneventful postoperative course.
- Extra-anatomic bypass was associated with complications at the aortic stump closure site.
Implications:
- In situ revascularization with omental wrapping is a potentially superior strategy for infected aneurysms.
- This approach may reduce the risk of complications compared to extra-anatomic bypass.