| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1989;47:193-203
© 1989 The Society of Thoracic Surgeons
Department of Surgery and the Infectious Disease Section, Department of Medicine, Baylor College of Medicine and The Methodist Hospital, Houston, Texas, USA
* Address reprint requests to Dr Crawford, 6535 Fannin, M.S. B-405, Houston, TX 77030.
Mycotic aneurysms as defined in this study include only those naturally occurring aortic aneurysms that result from or are secondarily infected by bacteria arising in a distant site of infection. Of the 2,585 patients treated for aortic aneurysm during the past 8[equation] years, 22 patients had disease conforming to this definition. The anenrysms were located in the ascending aorta in 2 patients, ascending aorta and arch in 5, arch and descending aorta in 1, descending thoracic aorta in 1, separate descending and abdominal aorta in 1, thoracoabdominal aorta in 5, upper abdominal aorta in 6, and infrarenal abdominal aorta in 1. The primary source of infection was the urinary tract in 2 patients, salmonellosis in 4, pneumonia in 3, subacute bacterial endocarditis in 2, ear, nose, and throat in 2, cellulitis of the hand in 1, chronic wounds in 2, dental extraction in 1, lumbar disc space infection in 1, septic thrombophlebitis in 1, and generalized febrile illness in 3. The duration of febrile illness ranged from 2 weeks to 1 year. All patients were treated with antibiotics and operation was performed within 24 hours after admission in 11 patients and within one to eight days after admission in 11. Treatment consisted of in situ graft replacement. Appropriate antibiotics were given intravenously for 4 to 6 weeks in patients with positive cultures and continued orally for the rest of the patients' lives. Of the 22 patients, 19 (86%) were early survivors, and all are still alive 3 months to 8 years postoperatively. Only 1 had a recurrent infection, which involved the intervertebral disc space.
This article has been cited by other articles:
|
|
 |
|
  C. D. Adkisson, W. A. Oldenburg, E. V. Belli, A. S. Harris, E. M. Walser, and A. G. Hakaim Treatment of a Mycotic Descending Thoracic Aortic Aneurysm Using Endovascular Stent-Graft Placement and Rifampin Infusion With Postoperative Aspiration of the Aneurysm Sac Vascular and Endovascular Surgery, November 1, 2011; 45(8): 765 - 768. [Abstract] [PDF]
|
|
|
|
 |
|
 J. L. Robinson and T. J. Learch Vascular Lesions Presenting as Musculoskeletal Neoplasms Am. J. Roentgenol., July 1, 2011; 197(1): W141 - W148. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. S. Restrepo, D. Ocazionez, R. Suri, and D. Vargas Aortitis: Imaging Spectrum of the Infectious and Inflammatory Conditions of the Aorta RadioGraphics, March 1, 2011; 31(2): 435 - 451. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Bowden, P. D. Hayes, U. Sadat, and T. Choon See Mycotic Pseudoaneurysm of the Superficial Femoral Artery in a Patient with Cushing Disease: Case Report and Literature Review Vascular, June 1, 2009; 17(3): 163 - 167. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W.-K. Lee, P. J. Mossop, A. F Little, G. J. Fitt, J. I Vrazas, J. K. Hoang, and O. F. Hennessy Infected (Mycotic) Aneurysms: Spectrum of Imaging Appearances and Management1 RadioGraphics, November 1, 2008; 28(7): 1853 - 1868. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Chandrikakumari, J. B. Giot, L. de Leval, E. Creemers, P. Leonard, D. Mukeba, M. Moutschen, and F. Frippiat Report of a Case of Streptococcus agalactiae Mycotic Aneurysm and Review of the Literature International Journal of Surgical Pathology, July 1, 2008; 16(3): 314 - 319. [Abstract] [PDF]
|
|
|
|
 |
|
 D. Gabbieri, P. M Dohmen, J. Linneweber, A. Lembcke, C. von Heymann, and W. F Konertz Mycotic Pseudoaneurysm of the Ascending Aorta at Site of Aortic Cannulation Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): e15 - e17. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. R. Brinster, R. J. Rizzo, and R. M. Bolman III Ascending Aortic Aneurysms Card. Surg. Adult, January 1, 2008; 3(2008): 1223 - 1250. [Full Text]
|
|
|
|
|
|
Kwok Keung Ho, P. C.-h. Kwok, Shiu Shek Chung, and Wong Kan Wong Combined Endovascular and Open Treatment for Infected Pseudoaneurysm of the Thoracic Aortic Arch Vascular and Endovascular Surgery, November 1, 2007; 41(5): 456 - 459. [Abstract] [PDF]
|
|
|
|
 |
|
 P. Grant, J. S. K. Murala, R. Kolli, A. Numa, J. Awad, and A. V. Dilley Massive hematemesis in a child with undiagnosed aortic coarctation and mycotic aneurysm J. Thorac. Cardiovasc. Surg., December 1, 2006; 132(6): 1482 - 1483. [Full Text] [PDF]
|
|
|
|
 |
|
 C. T. Stephens, L. L. Pounds, and L. A. Killewich Rupture of a Nonaneurysmal Aorta Secondary to Staphylococcus Aortitis: A Case Report and Review of the Literature Angiology, August 1, 2006; 57(4): 506 - 512. [Abstract] [PDF]
|
|
|
|
|
|
M. Sakaki, H. Takano, Y. Miyamoto, Y. Sawa, G. Matsumiya, and H. Matsuda Graft Replacement and Muscle Wrap for Infected Aneurysm of Thoracic Aorta Asian Cardiovasc Thorac Ann, June 1, 2006; 14(3): 247 - 249. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. C. W. Ting, S. W. K. Cheng, P. Ho, and J. T. C. Poon Endovascular repair for multiple Salmonella mycotic aneurysms of the thoracic aorta presenting with Cardiovocal syndrome Eur J Cardiothorac Surg, July 1, 2004; 26(1): 221 - 224. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C.-Y. Lin, G.-J. Hong, K.-C. Lee, and C.-S. Tsai Successful treatment of Salmonella mycotic aneurysm of the descending thoracic aorta Eur J Cardiothorac Surg, August 1, 2003; 24(2): 320 - 322. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Anderson, R. J. Rizzo, and L. H. Cohn Ascending Aortic Aneurysms Card. Surg. Adult, January 1, 2003; 2(2003): 1123 - 1148. [Full Text]
|
|
|
|
|
|
J. S. Coselli and P. L. Moreno Descending and Thoracoabdominal Aneurysm Card. Surg. Adult, January 1, 2003; 2(2003): 1169 - 1190. [Full Text]
|
|
|
|
|
|
R. C. Morrison Jr, P. J. Dimuzio, M. Kahn, R. A. Carabasi III, W. Bailey, and R. N. Edie Clostridial Mycotic Aneurysm of the Thoracoabdominal Aorta: A Case Report Vascular and Endovascular Surgery, July 1, 2001; 35(4): 303 - 310. [Abstract] [PDF]
|
|
|
|
|
|
B. Toursarkissian, R. P. Smilanich, and M. T. Sykes Autologous Superficial Femoral Vein for the Repair of Suprarenal Mycotic Aneurysms: A Preferred Conduit?: A Case Report Vascular and Endovascular Surgery, March 1, 2001; 35(2): 157 - 161. [Abstract] [PDF]
|
|
|
|
 |
|
 F. Stemmet, J. Q. Davies, and U. O. von Oppell Postpneumonectomy aortic arch mycotic aneurysm Ann. Thorac. Surg., March 1, 2001; 71(3): 1030 - 1032. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Akgun, A. Civelek, F. Akalin, S. Akgun, A. Civelek, and F. Akalin Mycotic Aneurysm of Suprarenal Aorta in a 14-Year-Old Boy Asian Cardiovasc Thorac Ann, June 1, 2000; 8(2): 169 - 171. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C.-C. Lee, Y.-Y. Ng, Y.-H. Chou, C.-M. Tiu, Z. Wang, H.-M. Yang, T.-W. Chen, and W.-C. Yang Mycotic Aneurysm of the Abdominal Aorta in a Patient Undergoing Hemodialysis: An Unusual Complication of Staphylococcus aureus Bacteremia Clinical Infectious Diseases, May 1, 2000; 30(5): 823 - 824. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Katsumata and S. Westaby Homograft Aortic Replacement for Infected Mediastinal False Aneurysm Ann. Thorac. Surg., November 1, 1997; 64(5): 1464 - 1466. [Abstract] [Full Text]
|
|
|
|
|
|
Y.-F. Chen, P.-Y. Lin, H.-W. Yen, and C.-C. Lin Double Mycotic Aneurysms of the Ascending Aorta Ann. Thorac. Surg., February 1, 1997; 63(2): 529 - 531. [Abstract] [Full Text]
|
|
|
|
|
|
M. Pasic Mycotic Aneurysm of the Aorta: Evolving Surgical Concept Ann. Thorac. Surg., April 1, 1996; 61(4): 1053 - 1054. [Full Text]
|
|
|
|
|
|
C. Knosalla, Y. Weng, A. C. Yankah, J. Hofmeister, and R. Hetzer Using Aortic Allograft Material to Treat Mycotic Aneurysms of the Thoracic Aorta Ann. Thorac. Surg., April 1, 1996; 61(4): 1146 - 1152. [Abstract] [Full Text]
|
|
|
|
|
|
P. Vogt, M. Pasic, L. von Segesser, T. Carrel, and M. Turina Cryopreserved aortic homograft for mycotic aneurysm J. Thorac. Cardiovasc. Surg., March 1, 1995; 109(3): 589 - 591. [Full Text]
|
|
|
|
|
|
K. Onoda, T. Hayashi, T. Mizumoto, H. Shimpo, K. Tanaka, Y. Katayama, U. Yuasa, Y. Shomura, K. Maruyama, M. Takeuchi, et al. One-Stage Repair of Salmonella enteritidis-Infected Infrarenal Aortic Aneurysm: A Case Report Vascular and Endovascular Surgery, November 1, 1994; 28(9): 619 - 626. [Abstract] [PDF]
|
|
|
|
|
|
R. Soyer, J. P. Bessou, F. Bouchart, M. Redonnet, D. Mouton-Schleifer, and J. Arrignon Surgical treatment of infected composite graft after replacement of ascending aorta Ann. Thorac. Surg., August 1, 1994; 58(2): 425 - 428. [Abstract] [PDF]
|
|
|
|
|
|
W. J. Wells, A. H. Fox, P. R. Theodore, L. A. Ross, P. Stanley, and V. A. Starnes Aspergillosis of the posterior mediastinum Ann. Thorac. Surg., May 1, 1994; 57(5): 1240 - 1243. [Abstract] [PDF]
|
|
|
|
|
|
H. Van der Wall, A. Palmer, M. Thomas, and J. Chu Bone and Leukocyte Scintigraphy of a Complicated Case of Ruptured Mycotic Aneurysm of the Aorta: A Case History Angiology, April 1, 1994; 45(4): 315 - 319. [Abstract] [PDF]
|
|
|
|
|
|
M. Pasic, J. Schwitter, M. Vogt, T. Carrel, L. von Segesser, and M. Turina Ruptured Mycotic Extracranial Carotid Aneurysm Treated by Excision, PTFE Graft Interposition, and Local Antibiotic Application--A Case Report Vascular and Endovascular Surgery, June 1, 1992; 26(5): 421 - 425. [Abstract] [PDF]
|
|
|
|
 |
|
 H. Van Damme, M. Belachew, P. Damas, J. L. Hosselet, G. Dekoster, and R. Limet Mycotic Aneurysm of the Upper Abdominal Aorta Ruptured Into the Stomach Arch Surg, April 1, 1992; 127(4): 478 - 482. [Abstract] [PDF]
|
|
|
|
|
|
D. J. Reddy, A. D. Shepard, J. R. Evans, D. J. Wright, R. F. Smith, and C. B. Ernst Management of Infected Aortoiliac Aneurysms Arch Surg, July 1, 1991; 126(7): 873 - 879. [Abstract] [PDF]
|
|
|
|
|
|
J. S. Coselli, E. S. Crawford, T. W. Williams Jr, W. Bradshaw, D. R. Wiemer, R. L. Harris, and H. J. Safi Treatment of postoperative infection of ascending aorta and transverse aortic arch, including use of viable omentum and muscle flaps Ann. Thorac. Surg., December 1, 1990; 50(6): 868 - 881. [Abstract] [PDF]
|
|
|
|
 |
|
 A. Khan and J. Goldstone Mycotic Suprarenal Abdominal Aortic Aneurysm Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1990; 3(2): 113 - 124. [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
