Mycotic aneurysm and aortic graft infection presenting with vertebral body destruction requiring debridement and stabilization--a report of two cases.
Vertebral osteomyelitis may occur with mycotic aneurysms or infected aortic grafts. A high index of suspicion for these concurrent processes as well as appropriate preoperative evaluation and interspecialty communication is critical for appropriate diagnosis and treatment. Extraanatomic bypass, wide debridement of necrotic soft tissue and bony structures, and concurrent bony stabilization are important aspects of treatment.
Kahn
M B
MB
Division of Vascular Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA. Mark.Kahn@mail.tju.edu
Dimuzio
P J
PJ
Schmeider
F
F
Cotler
J
J
Albert
T
T
Carabasi
R A
RA
D000368:Aged; D000785:Aneurysm, Infected / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003646:Debridement; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D010019:Osteomyelitis / Q000150:complications / Q000601:surgery* / Q000628:therapy; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D013123:Spinal Fusion; D013904:Thoracic Vertebrae; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents