Surgical treatment of infected aortic aneurysm.
Am J Surg
; 175(5): 396-9, 1998 May.
Article
em En
| MEDLINE
| ID: mdl-9600286
ABSTRACT
BACKGROUND:
We report results of infected aortic aneurysms treated by a single group over 20 years.METHODS:
Retrospective review.RESULTS:
Seventeen patients were treated, 10 with infrarenal and 7 suprarenal infections. All had abdominal/back pain, 88% were febrile, 71% had leukocytosis, and 24% were hemodynamically unstable. The most common responsible organism was Staphylococcus aureus (29%) followed by Salmonella organisms (24%). All suprarenal infections were gram-positive organisms. Infrarenal infections were treated with preliminary axillofemoral bypass followed by aortic resection. Suprarenal infections were treated with either in situ prosthetic graft or patch repairs. Operative survival was 90% for infrarenal and 57% for suprarenal infections. Operative deaths occurred in the setting of overwhelming sepsis and/or severe preoperative hemodynamic instability. There was no limb loss, renal failure, or intestinal ischemia. Late deaths occurred in 4 patients at 1.3 to 6.3 years postoperatively and were unrelated to their aortic repairs. Nine patients remain alive with a median follow-up of 2 years. There have been no late aortic or graft infections.CONCLUSIONS:
In the absence of hemodynamic instability and uncontrolled sepsis, infected aortic aneurysms can be successfully repaired with durable results.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Infectado
/
Aneurisma da Aorta Torácica
/
Aneurisma da Aorta Abdominal
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
1998
Tipo de documento:
Article
País de afiliação:
Estados Unidos