No abstract available.
Aneurysm, Infected

No abstract available.
Aneurysm, Infected ; Aorta, Abdominal

Introduction: Ruptured mycotic aortic aneurysm is a rare and life-threatening condition. An early and proper initiation of antibiotics aside from aneurysmal repair is of paramount importance. The typhidot IgG and IgM may help with this dilemma, especially when the blood culture is negative and during the waiting period for the the aortic sample result. Case: A 47-year-old male Filipino with type 2 diabetes mellitus presented with severe back pain for one month and intermittent fever for three weeks. Complete blood count showed anemia and leukocytosis with predominance of neutrophils. On computed tomography of the aorta, a segmental calcification and wall discontinuity in the right posterolateral wall of the infrarenal abdominal aorta with heterogenous collection of blood in the retroperitoneal region was seen and aortic rupture secondary to mycotic aneurysm was considered. He underwent emergency abdominal aortic aneurysm repair with debridement, antibiotic lavage, aortoiliac grafting, anastomosis and omental packing. The typhidot IgG and IgM test was positive and was given ceftriaxone 2gm/IV every 24 hours for six weeks. Blood cultures did not reveal significant growth of any pathogen. The aortic wall culture showed heavy growth for salmonella species sensitive to ceftriaxone, confirming and guiding the management. He was then discharged improved. Conclusion A mycotic aneurysm secondary to salmonella should be one of the considerations in an adult male diabetic presenting with prolonged fever, abdominal and back pain with or without a tender pulsatile mass. The Typhidot test is an easy and affordable test that allows rapid detection of salmonella infection. Early surgical intervention and antibiotics are the treatment of choice
Aneurysm, Infected ; Salmonella

Flow reversal and thromboexclusion constitute a valuable alternative for aortic surgeons to have within their technical armamentarium for the treatment of aortic aneurysmal disease. Although not usually a preferred treatment for general aortic pathologies, this technique can be considered as a treatment option in select situations, such as mycotic aneurysm, a hostile surgical field, and a poor condition of the patient. Here, we present a case of extra-anatomic bypass and thromboexclusion for recurrent aortic aneurysm after previous extra-anatomic bypass and thromboexclusion surgery.
Aneurysm, Infected ; Aortic Aneurysm ; Humans ; Pathology ; Surgeons

No abstract available.
Aneurysm, Infected* ; Endocarditis* ; Mesenteric Artery, Superior*

Mycotic aneurysm is a disease requiring immediate treatment because of the high risk of rupture. A difficult surgical approach, especially in the case of occurrence on the iliac artery, involving endovascular embolization and extra-anatomic bypass grafting, is known to be a suitable treatment. We performed extra-anatomic bypass grafting after endovascular embolization successfully in two patients. The postoperative computed tomography of both patients showed complete exclusion of the mycotic aneurysm.
Aneurysm, Infected ; Humans ; Iliac Artery ; Rupture ; Transplants

Aneurysm of the superior mesenteric artery is rare, accounting for about 8% of visceral arterial aneurysms ;60% of all such the aneurysms of the superior mesenteric artery. We report a case of mycotic aneurysm of thesuperior mesenteric artery whcih on US, CT and angiography, showed typical findings.
Aneurysm ; Aneurysm, Infected* ; Angiography ; Mesenteric Arteries ; Mesenteric Artery, Superior*

Mycotic aneurysms most commonly occur in femoral arteries or the abdominal aorta. Mycotic aneurysm arising from the left subclavian artery is very rare. The morbidity and mortality of ruptured mycotic aneurysms, regardless of their location, remain high despite the current practice of administering an intensive antibiotic regimen. We encountered a case of mycotic aneurysm presenting as mediastinal abscess and arising from in the left subclavian artery. Therefore, we report this case with radiologic findings to remind readers of the possibility of this unusual location of mycotic aneurysm.
Abscess* ; Aneurysm, Infected* ; Aorta, Abdominal ; Femoral Artery ; Mortality ; Subclavian Artery*

The obturator foramen bypass has been described as an alternative procedure to solve complicated vascular problems in the groin. This extra-anatomical bypass has been used successfully in cases of infection, mycotic aneurysm, traumatic ulcer, irradiation ulcer, and excessively scarred tissues in the femoral region. We experienced two cases of iliopopliteal bypass through obturator foramen in femoral artery mycotic aneurysm and graft infection after femoral-femoral bypass.
Aneurysm, Infected ; Cicatrix ; Femoral Artery ; Groin ; Transplants ; Ulcer

The intracranial mycotic aneurysms are a rare complication in patients with infective endocarditis, and the management of the aneurysm is controversial. We presented a case of a 50-year-old woman who had infective endocarditis, complicated by an intracranial mycotic aneurysm of distal branch of the right anterior cerebral artery. Endovascular treatment using cyanoacrylate led to a successful result.
Aneurysm ; Aneurysm, Infected ; Anterior Cerebral Artery ; Cyanoacrylates* ; Embolization, Therapeutic ; Endocarditis ; Female ; Humans ; Intracranial Aneurysm* ; Middle Aged