title: In situ repair of a primary Brucella-infected abdominal aortic aneurysm: long-term follow-up.
abstract: Infected aortic aneurysms represent 0.85 to 1.3% of aortic aneurysms. Most often, the implicated bacteria species are Salmonella sp., Staphylococcus sp. and Streptococcus sp. Brucella-related infected aortic aneurysms are very rare. Most often, they result from endocarditis or from a local septic focus. Combined treatment by antibiotics and surgery is the standard for infectious aneurysms. In the absence of formal factual data, the surgical treatment is still discussed in the literature, especially since endovascular treatments have been in full expansion. We are reporting the case of a female patient presenting with a Brucella-related infra-renal abdominal aortic aneurysm, without primitive infectious source (area) or identified endocarditis. Surgical treatment with in situ prosthetic replacement and omentoplasty in association with adapted antibiotics allowed a favorable outcome with an excellent result after an 8-year follow up.
authors: Department of Visceral and Vascular Surgery, Hôpital d'Instruction des Armées du Val-de-Grâce, Paris, France. yvaingoudard@yahoo.fr
authors: Yvain
authors: Y
authors: Goudard
authors: Charles
authors: C
authors: Pierret
authors: Bruno
authors: B
authors: de La Villéon
authors: Amélie
authors: A
authors: Mlynski
authors: Xavier
authors: X
authors: de Kerangal
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D017347:Brucella melitensis / Q000302:isolation & purification*; D002006:Brucellosis / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D013524:Surgical Flaps; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents