title: In situ repair of a mycotic suprarenal aortic aneurysm using a cryopreserved aortic homograft and visceral debranching in a patient with spondylodiscitis and left psoas muscle abscess.
abstract: We present a patient with ruptured suprarenal aortic aneurysm, involving origins of visceral and renal arteries. Associated spondylodiscitis and left psoas muscle abscess were also diagnosed. The patient was initially treated with antibiotics. Diagnostic survey showed progression of the aneurysm diameter and enlargement of the psoas muscle abscess. Surgical treatment using a cryopreserved aortic homograft with debranching of visceral arteries was performed. Different modalities of surgical repair within the infected aortic segment and the rationale for usage of cryopreserved homografts are considered. The importance of optimal timing for surgery is emphasized as well.
authors.affiliation: Department of Surgery, Division for Vascular Surgery, University Hospital Center Zagreb - "Rebro", Zagreb, Croatia.
authors.forename: Mladen
authors.initials: M
authors.lastname: Petrunic
authors.forename: Tomislav
authors.initials: T
authors.lastname: Mestrovic
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Loncaric
authors.forename: Branka
authors.initials: B
authors.lastname: Golubic-Cepulic
authors.forename: Bozidar
authors.initials: B
authors.lastname: Oberman
authors.forename: Ivica
authors.initials: I
authors.lastname: Safradin
mesh_terms: D064591:Allografts; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D015925:Cryopreservation; D015299:Discitis / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D016659:Psoas Abscess / Q000175:diagnosis / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents