title: Mycotic aneurysms affecting both lower legs of a patient with Candida endocarditis--endovascular therapy and open vascular surgery.
abstract: The purpose of this study was to report the endovascular and open surgery treatment of Candida-associated mycotic aneurysms in both lower limbs. A 53-year-old patient suffering from Candida endocarditis following aortic valve replacement developed mycotic aneurysms in both lower limbs. The angiography revealed a large aneurysm of the tibioperoneal trunk affecting the right leg. In the left leg, sacculation had developed in section III of the popliteal artery. The right aneurysm was obliterated by embolization with coils. On the left side, the large aneurysm of the popliteal artery was resected; vascular continuity was re-established by interposing a segment of the patient's greater saphenous vein. The postoperative course was uneventful. Mycotic aneurysm is a rare disease. A site in the crural vessels is regarded as exceptionally seldom. To our knowledge, no Candida-associated mycotic aneurysm has been described in this region before. Both endovascular treatment and open surgery proved to be successful.
authors.affiliation: Departmentof Surgery, University School of Medicine, Wurzburg, Germany. axel@larenas.de
authors.forename: Axel
authors.initials: A
authors.lastname: Larena-Avellaneda
authors.forename: Eike S
authors.initials: ES
authors.lastname: Debus
authors.forename: Harald
authors.initials: H
authors.lastname: Daum
authors.forename: Martin
authors.initials: M
authors.lastname: Kindel
authors.forename: Walter
authors.initials: W
authors.lastname: Gross-Fengels
authors.forename: Herbert
authors.initials: H
authors.lastname: Imig
mesh_terms: D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D002177:Candidiasis; D004621:Embolization, Therapeutic / Q000379:methods; D004696:Endocarditis / Q000382:microbiology*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D007866:Leg / Q000098:blood supply; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery; D012501:Saphenous Vein / Q000637:transplantation; D016909:Tibial Arteries