Bacteriologic and surgical determinants of survival in patients with mycotic aneurysms

Brown, Spencer L.; Busuttil, Ronald W.; Baker, J.Dennis; Machleder, Herbert I.; Moore, Wesley S.; Barker, Wiley F.

doi:10.1016/0741-5214(84)90040-5

Cited by 418 publications

(237 citation statements)

References 43 publications

Supporting

Mentioning

219

Contrasting

Unclassified

Order By: Relevance

“…Only 12 were mycotic aneurysms, half of them located in the aorta [4]. A review of the international literature in 1984 revealed that the most common organisms causing mycotic aneurysms were staphylococci, which were found in 30 % and salmonellas in 10 % [5]. Extraintestinal manifestation of salmonellosis occurs in approximately 5 % of cases [6].…”

Section: Discussionmentioning

confidence: 99%

Mycotic aneurysm rupture of the descending aorta

et al. 1998

View full text Add to dashboard Cite

A 69-year-old diabetic male with salmonella bacteremia developed hypovolemic shock and swelling of the neck. A CT examination revealed massive mediastinal hemorrhage extending into the neck soft tissues caused by false aneurysm rupture of the descending thoracic aorta. Aortography showed continuous extravasation from a large leak at the medial side of the descending thoracic aorta. Although surgical intervention was immediately performed, the patient died 3 weeks later from multiple-organ failure. In this report, CT and angiographic findings of mycotic aneurysm rupture are presented and a review is given.

show abstract

Section: Discussionmentioning

confidence: 99%

Mycotic aneurysm rupture of the descending aorta

et al. 1998

View full text Add to dashboard Cite

show abstract

“…In a collective review of 180 patients, Brown and associates [6] compared mycotic aneurysms before and after 1965 with regard to anatomic location, etiology, and bacteriology. The femoral artery (38%) and abdominal aorta (31%) were most commonly involved, followed by the superior mesenteric (8%), brachial (7%), iliac (6%), carotid (5%), radial-ulnar (3%), hepatic (1%), subclavian (Ͻ 1%), and popliteal (Ͻ 1%) arteries.…”

Section: Discussionmentioning

confidence: 99%

“…The primary etiology was arterial trauma in 42%, endocarditis in 16%, and miscellaneous in 25% of cases. With the increasing use of antibiotics, substantial changes had taken place over three decades [6]. Prior to 1965 endocarditis was associated with mycotic aneurysms in 37% and thereafter in 10%.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mycotic aneurysm of common carotid artery induced byStaphylococcus bureus infection after cervical reoperation

Machens

Dralle

2001

World j. surg.

View full text Add to dashboard Cite

The objective of this study was to define a novel type of mycotic aneurysm of the carotid artery arising after cervical reoperation. We retrospectively analyzed all staphylococcal mycotic aneurysms of the common carotid artery. These aneurysms had developed after reoperative thyroid or parathyroid surgery, including resection of the central lymph node compartment and cervical reexploration. Mycotic aneurysms were found in three patients, with an incidence of 0.77% (2/261) and 0.62% (1/161) for thyroid and parathyroid reoperations, respectively. Postoperatively, a lymphatic fistula and cervical hematoma emerged in all patients, as did cervical wound infections on days 3, 4, and 6. Deep wound infections were noted on surgical revision. Cultures grew exclusively Staphylococcus aureus, which was resistant to methicillin (MRSA) in one patient. Mycotic aneurysms were identified 1 week after cervical reoperation. One aneurysm was discovered incidentally on planned lavage. The other two aneurysms presented as severe arterial hemorrhages, resulting in exsanguination in one patient. The other two patients had their aneurysms replaced by saphenous venous autografts. There seems to be accelerated arterial media destruction with formation of mycotic aneurysms in staphylococcal wound infections after cervical reoperation. It is important to recognize this novel type of mycotic aneurysm, as it must be repaired immediately to anticipate imminent rupture.

show abstract

“…Platz ein [3]. Die erste erfolgreiche Behandlung eines mykotischen Viszeralarterienaneurysmas wurde 1949 von DeBakey durchgeführt.…”

unclassified

Das mykotische Viszeralarterienaneurysma

et al. 2004

View full text Add to dashboard Cite

Bacterially infected arterial aneurysms were named mycotic aneurysms by William Osler in 1885 due to their morphology. This rare vascular disease is mainly localized in the femoral artery but also occurs in the aorta and visceral arteries. After the first surgically treated mycotic visceral aneurysm in 1949, we found 36 casuistics in the literature. We report on two patients treated in our department with mycotic visceral aneurysms and discuss the literature concerning topography, differential diagnosis, and surgical management.

show abstract

Bacteriologic and surgical determinants of survival in patients with mycotic aneurysms

Cited by 418 publications

References 43 publications

Mycotic aneurysm rupture of the descending aorta

Mycotic aneurysm rupture of the descending aorta

Mycotic aneurysm of common carotid artery induced byStaphylococcus bureus infection after cervical reoperation

Das mykotische Viszeralarterienaneurysma

Contact Info

Product

Resources

About