Salmonella mycotic aneurysms: traditional and "alternative" surgical repair with arterial homograft.
Salmonella infection of the abdominal aorta with formation of mycotic aneurysm is rare, but associated with a high mortality and morbidity. Prompt surgical treatment and selective and prolonged antibiotic therapy are required because of its rapid and impredictable evolution in a short period of time, even if an infectivous etiology is only suspected. Methods of revascularization can be different: the traditional two are in situ or extraanatomic bypass using synthetic graft. Both these solutions are subject to complications. An "alternative" method of revascularization with low risk of infection and good patency is the use of arterial homograft in situ. We report two cases of Salmonella mycotic aortic aneurysms successfully treated with revascularization respectively by extraanatomic bypass using synthetic graft and in situ arterial homograft. The reasons for our choice are also discussed.
Locati
P
P
Department of Vascular Surgery, Busto Arsizio Hospital, Varese.
Socrate
A M
AM
Costantini
E
E
D000368:Aged; D000785:Aneurysm, Infected / Q000382:microbiology* / Q000601:surgery; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000382:microbiology* / Q000601:surgery; D001158:Arteries / Q000637:transplantation; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000382:microbiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D014463:Ultrasonography