Mycotic suprarenal aortic aneurysm.
Two cases of mycotic suprarenal aortic aneurysm treated by anatomic reconstruction are presented. Diagnosis was facilitated by 67-Gallium Citrate Scanning, Computer Assisted Tomography (CT), and Angiography. Increasing symptoms with attenuation of the aortic wall identified by CT necessitated urgent resection and reconstruction in both patients. Contained rupture of the aneurysm was found in one patient. Cultures of the resected tissue grew Salmonella dublin and Bacteroides fragilis. The patients were treated with continuous antibiotic therapy. Follow-up demonstrated asymptomatic patients with sterile blood cultured and good anatomic results on CT at one year. No recurrent sepsis nor aneurysmal dilatation is evident to date. Based on our experience and the available literature we conclude that inline reconstruction is the method of choice for treatment on these lesions.
Suddleson
E A
EA
Department of Surgery, Huntington Memorial Hospital, Pasadena, California 91109.
Katz
S G
SG
Kohl
R D
RD
D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001442:Bacteroides Infections; D001807:Blood Vessel Prosthesis; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011877:Radionuclide Imaging; D012480:Salmonella Infections; D014057:Tomography, X-Ray Computed
D005710:Gallium Radioisotopes; D011093:Polyethylene Terephthalates