Ruptured abdominal aortic aneurysms due to Salmonella, not of typhi species.
Ruptured aortic aneurysms due to Salmonella not of typhi species are rare and associated with high morbidity and mortality. We present three patients with Salmonella-infected ruptured aortic aneurysms successfully treated with an in situ prosthetic bypass graft. One patient had a saccular aneurysm at the infrarenal aorta and two patients had fusiform aneurysms at the aortic bifurcation. All the patients were treated with wide debridement of the infected aortic tissue followed by in situ graft replacement and long-term systemic antibiotic therapy. The method of revascularization, in situ bypass or extraanatomic bypass, remains controversial. On the basis of our clinical experience and recent literature focusing on more than 10 cases, in situ bypass reconstruction may be a feasible surgical technique for Salmonella-infected ruptured aortic aneurysm.
Kwon
Tae-Won
TW
Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine and Asian Medical Center, Seoul, Korea. twkwon2@amc.seoul.kr
Shin
Eui-Sup
ES
Kim
Do-kyun
DK
Lee
Sang-Oh
SO
Kim
Geun-Eun
GE
D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000382:microbiology* / Q000628:therapy; D000890:Anti-Infective Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000382:microbiology* / Q000628:therapy; D001807:Blood Vessel Prosthesis; D002939:Ciprofloxacin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D012480:Salmonella Infections / Q000150:complications* / Q000382:microbiology / Q000628:therapy
D000890:Anti-Infective Agents; D002939:Ciprofloxacin; D011138:Polytetrafluoroethylene