title: Diagnosis and management of a ruptured popliteal mycotic pseudoaneurysm.
abstract: Infected popliteal aneurysms are a rare but high-risk pathology that may present as a surgical emergency with acute rupture and sepsis. Management of acute ischemia in the presence of systemic sepsis is challenging and requires timely diagnosis, rapid intervention, and multidisciplinary communication to ensure an optimum outcome for both life and limb in these patients. We report on a case of a ruptured mycotic popliteal artery aneurysm as a consequence of septic embolization from infective endocarditis managed by reverse saphenous vein bypass. The clinical presentation, diagnostic process, and approach to management along with a literature review on mycotic popliteal aneurysm are presented in this case report.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, USA.
authors.forename: Anahita
authors.initials: A
authors.lastname: Dua
authors.affiliation: Department of Surgery, Louisiana State University, Shreveport and Overton Brooks Veterans Affairs Medical Center, Shreveport, USA.
authors.forename: SreyRam
authors.initials: S
authors.lastname: Kuy
authors.affiliation: Department of Vascular Surgery, Southern Illinois University, Springfield, USA.
authors.forename: Sapan S
authors.initials: SS
authors.lastname: Desai
authors.affiliation: Private Industry, Durham, USA.
authors.forename: Naveen
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Johns Hopkins Medical Center, Maryland, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Heller
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, USA andua@mcw.edu.
authors.forename: Cheong J
authors.initials: CJ
authors.lastname: Lee
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D015819:Substance Abuse, Intravenous / Q000150:complications*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Popliteal mycotic pseudoaneurysm; popliteal pseudoaneurysm