[Mycotic aneurysm of the subrenal abdominal aorta: extra anatomical reconstruction in five patients].
Between 1988 and 2001, five patients with mycotic aneurysm of the abdominal aorta underwent surgery. Extra-anatomical reconstruction with axillo-bifemoral bypass grafting was performed in all patients. The hospital mortality rate was 20%. During the follow-up period two patients presented thrombosis of the axillo-bifemoral bypass, descending aorto-bifemoral bypass was performed in one. Extra-anatomic revascularization is a satisfactory procedure in the treatment of mycotic abdominal aortic aneurysm. The results are acceptable and the prognosis is mainly related to the underlying pathology and the severity of the infection.
Denguir
R
R
Service de Chirurgie Cardio-Vasculaire, Hôpital La Rabta, Bab Saadoun 1007 Jabbari Tunis, Tunisie. denguir.raouf@gnet.tn
Gharsallah
N
N
Khanfir
I
I
Ghedira
F
F
Kharroubi
M
M
Kalfat
T
T
Khayati
A
A
Abid
A
A
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000293:Adolescent; D000328:Adult; D000785:Aneurysm, Infected / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D000900:Anti-Bacterial Agents; D001012:Aorta, Abdominal / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D001366:Axillary Artery / Q000601:surgery; D003131:Combined Modality Therapy; D015299:Discitis / Q000150:complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D017809:Fatal Outcome; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D011183:Postoperative Complications / Q000601:surgery; D016659:Psoas Abscess / Q000150:complications / Q000601:surgery; D012480:Salmonella Infections / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D012477:Salmonella enteritidis; D013203:Staphylococcal Infections / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D017131:Thrombectomy; D013927:Thrombosis / Q000209:etiology / Q000601:surgery; D014656:Vascular Surgical Procedures
D000900:Anti-Bacterial Agents