Mycotic Aneurysm in the Aortoiliac Area - Current Options for Treatment
| Authors | |
|---|---|
| Year of publication | 2015 |
| Type | Article in Periodical |
| Magazine / Source | Zentralblatt fur Chirurgie |
| MU Faculty or unit | |
| Citation | |
| Doi | http://dx.doi.org/10.1055/s-0032-1328215 |
| Field | Surgery incl. transplantology |
| Keywords | autologous femoral vein; in-situ prosthesis; mycotic aneurysm; stent graft |
| Description | Background: Infection represents a less frequent cause for the development of an abdominal aortic aneurysm. The diagnosis is associated with a high risk of rapir progression and rupture. Case Reports: Case 1 is a female operated on urgently for a ruptured mycotic aneurysm of the abdominal aorta. After resection of the aneurysm, we performed in situ replacement using a rifampicin-soaked vascular prosthesis. In case 2, an asymptomatic aneurysm of the right iliac artery was treated by endovascular implantation of a stent-graft. Both patients were treated with antibiotics concurrently and are still alive. Discussion: The discussion deals with the up-to-date treatment modalities for mycotic aneurysms in the aorto-iliac region. The indication criteria must be adjusted individually. Conclusion: The prognosis of patients with a mycotic aneurysm depends particularly on an early diagnosis. |