Ruptured mycotic infrapopliteal aneurysm.
Mycotic aneurysms involving infrapopliteal arteries are rare. Ruptured infrapopliteal aneurysms are particularly uncommon and represent a surgical or endovascular emergency. We describe a case of 51-year-old male who presented with a 12-cm ruptured aneurysm of the tibioperoneal trunk 5 years after an episode of bacterial endocarditis. Our surgical approach included using extremity exsanguination and tourniquet to control hemorrhage during aneurysm ligation, followed by successful arterial reconstruction. Review of the English literature suggests that this is the largest ruptured infrapopliteal aneurysm reported.
Division of Vascular Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Irina
I
Shakhnovich
Gary R
GR
Seabrook
Kellie R
KR
Brown
Brian D
BD
Lewis
Peter J
PJ
Rossi
D000785:Aneurysm, Infected / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000150:complications*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D014111:Tourniquets; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation
D000900:Anti-Bacterial Agents