[en] Infected abdominal aortic aneurysms are uncommon but not rare (1-3% of all abdominal aortic aneurysms). This life-threatening disease can lead to rapid uncontrolled sepsis and/or aortic rupture. We report one case that underlines two notions. Firstly computed tomography is effective to detect early stages of the pathology providing complete depiction of the anatomical abnormalities. Secondly infected aortic aneurysm can be successfully treated by antibiotherapy and in situ replacement with cryopreserved arterial homograft.
Disciplines :
Surgery
Author, co-author :
Kerzmann, Arnaud ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie cardio-vasculaire et thoracique
Ausselet, N; Department of Surgery, CHU Notre-Dame des Bruyères, Liège, Belgium
Daenen, G; Department of Gastroenterology, CHU Notre-Dame des Bruyères, Liège, Belgium
Linder, J L; Department of Surgery, CHU Notre-Dame des Bruyères, Liège, Belgium
Language :
English
Title :
Infected abdominal aortic aneurysm treated by in situ replacement with cryopreserved arterial homograft.
KOCH L. Ueber Aneurysma der Arteriae Mesenterichae Superioris. Inaug Dis Erlangen, 1851, 5-23.
OSLER W. The Gulstonian lectures on malignant endocarditis. Br Med J, 1885, 1: 467-9.
JARRETT F., DARLING R. C., MUNDTH E. D., AUSTEN W. G. Experience with infected aneurysms of the abdominal aorta. Arch Surg, 1975, 110: 1281-6.
LAVIGNE J. P. Les infections prothétiques artérielles. Thèse de Doctorat en Sciences Cliniques, Université de Liège, 1998.
ALONSO M., CAEIRO S., CACHALDORA J., SEGURA R. Infected Abdominal Aortic Aneurysm: in situ replacement with cryopreserved arterial homograft. J Cardiovasc Surg, 1997, 38: 371-5.
PATRA P., RAFFI F., CHAILLOU P., GENIER F., NOËL S. F. Anévrysmes infectieux de l'aorte. In: KIEFFER E., GODEU P. (ed.). Maladies artérielles non athéroscléreuses de l'adulte. Paris: AERCV, 1994, pp. 235-50.
GOMES M. N., CHOYKE P. L., Wallace R. B. Infected aortic aneurysms. Ann Surg, 1992, 215: 435-42.
FLAMAND F., HARRIS K. A., DEROSE G., KARAM B., JAMIESON W. G. Arteritis due to Salmonella with aneurysm formation: two cases. Can J Surg, 1992, 35: 248-52.
SCHILS F., SAKALIHASAN N., SENTE J. M., LIMET R. Rupture couverte d'un anévrysme infectieux post-typhique de l'aorte abdominale sous-rénale. Rev Med Liège, 1999, 54: 786-8.
GOMES M. N., CHOYKE P. L. Infected aortic aneurysms: CT diagnosis. J Cardiovasc Surg, 1992, 33: 684-9.
MONETA G. L., TAYLOR L. M., YEAGER R. A., et al. Surgical treatment of infected aortic aneurysm. Am J Surg, 1998, 175: 396-9.
VOGT P. R., TURINA M. I. Management of infected aortic grafts: development of less invasive surgery using cryopreserved homografts. Ann Thorac Surg, 1999, 67: 1986-9.