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3. [Mycotic aneurysm of the subrenal abdominal aorta: extra anatomical reconstruction in five patients].

Author

Denguir R, Gharsallah N, Khanfir I, Ghedira F, Kharroubi M, Kalfat T, Khayati A, and Abid A

Subjects
Acquired Immunodeficiency Syndrome complications, Adolescent, Adult, Aneurysm, Infected drug therapy, Aneurysm, Infected etiology, Anti-Bacterial Agents, Aorta, Abdominal surgery, Aortic Aneurysm, Abdominal drug therapy, Aortic Aneurysm, Abdominal etiology, Axillary Artery surgery, Combined Modality Therapy, Discitis complications, Drug Therapy, Combination therapeutic use, Fatal Outcome, Femoral Artery surgery, Follow-Up Studies, Humans, Lumbar Vertebrae, Male, Middle Aged, Multiple Organ Failure etiology, Postoperative Complications surgery, Psoas Abscess complications, Psoas Abscess surgery, Salmonella Infections complications, Salmonella Infections drug therapy, Salmonella Infections surgery, Salmonella enteritidis, Staphylococcal Infections complications, Staphylococcal Infections drug therapy, Staphylococcal Infections surgery, Thrombectomy, Thrombosis etiology, Thrombosis surgery, Aneurysm, Infected surgery, Aortic Aneurysm, Abdominal surgery, Vascular Surgical Procedures
Abstract

Between 1988 and 2001, five patients with mycotic aneurysm of the abdominal aorta underwent surgery. Extra-anatomical reconstruction with axillo-bifemoral bypass grafting was performed in all patients. The hospital mortality rate was 20%. During the follow-up period two patients presented thrombosis of the axillo-bifemoral bypass, descending aorto-bifemoral bypass was performed in one. Extra-anatomic revascularization is a satisfactory procedure in the treatment of mycotic abdominal aortic aneurysm. The results are acceptable and the prognosis is mainly related to the underlying pathology and the severity of the infection.

Published
2003

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