In Situ Repair of a Primary Brucella-Infected Abdominal Aortic Aneurysm: Long-Term Follow-Up

Goudard, Yvain; Pierret, Charles; Villéon, Bruno de La; Mlynski, Amélie; Kérangal, Xavier de

doi:10.1016/j.avsg.2012.02.028

Cited by 9 publications

(7 citation statements)

References 22 publications

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“…However, in the present study, the most common pattern in patients with thoracic aortic aneurysms was asymmetric bulging of the right part of the aortic wall. Previous studies determined that, unlike in atheromatous aneurysms, the risk of aneurysm rupture in patients with BD was not associated with the maximum aneurysmal diameter (15,16). In the present study, two patients died of an aortic aneurysm rupture and CT angiography images revealed irregular cystic changes in the thickened aortic wall.…”

Section: Discussionmentioning

confidence: 96%

Use of contrast‑enhanced computed tomographic imaging to diagnose and evaluate Beh�et's disease with vascular complications

Cai

Mao

et al. 2019

Exp Ther Med

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In the present study, multi-slice CT results of patients with Behçet's disease (BD) and vascular complications were retrospectively evaluated. From January 2016 to May 2018, 45 of 361 patients with BD were diagnosed with vascular involvement. The clinical background, laboratory parameters and response to therapy of those patients were assessed. The following characteristics of vascular aneurysms were analyzed: Maximum diameter, length, wall thickness, borders, luminal changes, mural thrombus, cystic change of the vessel walls, asymmetric bulging of the right part of the aortic wall (RP type) and calcific plaques. The 45 BD patients analyzed included 37 males and 8 females with a median age of 40 years (30–49 years). Significant differences were observed among genders regarding age, ocular disorders and digestive-tract ulceration. A total of 42 aneurysms were identified with a mean diameter of 43 mm. Most aneurysmal walls (88%) were homogeneously enhanced on contrast-enhanced CT. Comparison of groups classified by aortic and larger arterial aneurysms indicated that aneurysms occurring in the aorta were more likely to form a mural thrombus, have a thicker wall (P<0.001) and unclear borders (P=0.036), to be of the RP type (P=0.003) and have a longer extension (P=0.001) compared with those in larger arteries. Unclear border of the aneurysmal wall was the only radiologic predictor correlated with an elevated erythrocyte sedimentation rate (P<0.001). In conclusion, characteristic CT imaging features of aneurysms may help to diagnose vascular involvement of BD and assess its severity, particularly in the absence of the classical clinical manifestations.

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Section: Discussionmentioning

confidence: 96%

Use of contrast‑enhanced computed tomographic imaging to diagnose and evaluate Beh�et's disease with vascular complications

Cai

Mao

et al. 2019

Exp Ther Med

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“…A total of 79 articles reporting on 130 cases of human brucellosis involving the aorta and iliac arteries were identified and included in the meta-analysis ( Herrick et al, 2014 ; Willems et al, 2022 ; Jiang et al, 2023 ; Yu and Zhao, 2021 ; Wang et al, 2023 ; Cascio et al, 2012 ; Hart et al, 1951 ; Peery and Belter, 1960 ; Bennett, 1967 ; Golden et al, 1970 ; Quilichini et al, 1974 ; Cros and Maestracci, 1975 ; Fudge et al, 1977 ; Colonna and Cristallo, 1978 ; Gillet et al, 1983 ; Cueto García et al, 1983 ; Aguado et al, 1987 ; Pressl et al, 1990 ; Kasab et al, 1990 ; Bergeron et al, 1992 ; Kumar et al, 1993 ; Gross et al, 1994 ; Sanchez-Gonzalez et al, 1996 ; Yee and Roach, 1996 ; Blain et al, 1997 ; Cano Trigueros et al, 1997 ; Peláez Fernández and Sánchez Galindo, 1999 ; Shehata and Adib, 2001 ; Rousié et al, 2004 ; Alhyari et al, 2005 ; Quaniers et al, 2005 ; Tsioufis et al, 2006 ; Biyik et al, 2007 ; Bul et al, 2007 ; Park et al, 2007 ; Kusztal et al, 2007 ; Kokkinis et al, 2008 ; Wolff et al, 2009 ; Ahmed et al, 2010 ; Bakhos et al, 2010 ; Jun Park and Hyun Cho, 2010 ; Kwon et al, 2010 ; Sasmazel et al, 2010 ; Amirghofran et al, 2011 ; Benedetto et al, 2011 ; Jariwala, 2013 ; Goudard et al, 2013 ). There were 65 single-case reports, 6 articles reporting on 2 cases, 1 article reporting on 3 cases, 2 articles reporting on 4 cases, 1 article reporting on 5 cases, 1 article reporting on 9 cases, 1 article reporting on 13 cases, and 1 article reporting on 15 cases.…”

Section: Resultsmentioning

confidence: 99%

Brucellosis involving the aorta and iliac arteries: a systematic review of 130 cases

Li,

Cheng

2023

Front. Bioeng. Biotechnol.

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Objective: Brucellosis, the most common bacterial zoonosis, poses a serious threat to public health in endemic regions. Cardiovascular complications of brucellosis, mostly pericarditis or endocarditis, are the leading cause of brucellosis-related death. Complications involving the aorta and iliac arteries are extremely rare but can be life-threatening. Our objective was to identify and review all reported cases of aortic and iliac involvement in brucellosis to provide a deep, up-to-date understanding of the clinical characteristics and management of the disease.Methods: Online searches in PubMed, Web of Science, China National Knowledge Infrastructure, and the Chinese Wanfang database were conducted to collect articles reporting cases of brucellosis with aortic and iliac artery involvement. All data in terms of patient demographics, diagnostic methods, clinical manifestations, and treatment regimens and outcomes were extracted and analyzed in this systematic review.Results: A total of 79 articles were identified, reporting a total of 130 cases of brucellosis with aortic and iliac artery involvement. Of the 130 cases, 110 (84.5%) were male individuals and 100 (76.9%) were over 50 years old. The patients had an overall mortality rate of 12.3%. The abdominal aorta was most commonly involved, followed by the ascending aorta, iliac artery, and descending thoracic aorta. Arteriosclerosis, hypertension, and smoking were the most common comorbidities. There were 71 patients (54.6%) who presented with systemic symptoms of infection at the time of admission. Endovascular therapy was performed in 56 patients (43.1%), with an overall mortality rate of 3.6%. Open surgery was performed in 52 patients (40.0%), with an overall mortality rate of 15.4%.Conclusion: Aortic and iliac involvement in brucellosis is extremely rare but can be life-threatening. Its occurrence appears to be associated with the male gender, an older age, arteriosclerosis, and smoking. Although the number of reported cases in developing countries has increased significantly in recent years, its incidence in these countries may still be underestimated. Early diagnosis and therapeutic intervention are critical in improving patient outcomes. Endovascular therapy has become a preferred surgical treatment in recent years, and yet, its long-term complications remain to be assessed.

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“…The incidence of IAAA is relatively rare in the general population, and its incidence ranges from approximately 0.85% to 1.30% of all abdominal aortic aneurysms. 9 Risk factors for IAAA include immunocompromised status, smoking, hypertension, diabetes, alcohol consumption, steroid treatment or chemotherapy, and atherosclerotic plaques. Brucellosis is a zoonotic disease caused by small intracellular gram-negative bacteria of the genus Brucella.…”

Section: Discussionmentioning

confidence: 99%

Brucella Infectious Aneurysm: A Retrospective Study of 14 Cases and Review of the Literature – Case Report and Literature Review

Wang¹,

Wang²,

Ma³

et al. 2023

IDR

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Objective To analyze the clinical characteristics and treatment process of 14 patients with aneurysm due to brucellosis, summarize the morbidity characteristics, and improve the knowledge and diagnosis of the disease. Methods The clinical data of patients with aneurysms who were diagnosed to have brucellosis through Rose Bengal Test (RBT), Serum Agglutination Test (SAT), blood culture, and computed tomography angiography from January 2012 to November 2022 in Bethune Hospital, Shanxi Province, China, were retrospectively analyzed, and their clinical characteristics and disease regression findings were summarized. Results Of the 14 patients, 13 were men, and 1 was a woman; the youngest patient was 48-year-old, and the oldest patient was of 74 years. All had a history of smoking. The sites of lesion occurrence included the abdominal aorta (5 patients), abdominal aorta +iliac artery (5 patients), iliac artery (2 patients), thoracic aorta and brachial artery were less common (1 case each). Symptoms in the patients mostly began with abdominal pain, which was accompanied by fever, nausea, and vomiting. Six patients had a clear history of livestock exposure. Fourteen patients showed elevated D-dimer and C-reactive protein levels and decreased hemoglobin and albumin levels. Thirteen of the 14 cases were treated surgically, there were no complications of surgery, and 3 patients were readmitted with recurrence of brucellosis, it is related to the treatment that did not reach the early stage, combination, full dose and full course of treatment, with a mean recurrence time of 8 months. In the telephone follow-up, the patient’s recovery proceeded well. Conclusion The present study revealed that the recurrence in male gender, advanced age, smoking and irregular treatment is higher. On the contrast, early intervention, a combination of adequate course of anti-infection treatment and timely surgery can improve the prognosis.

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In Situ Repair of a Primary Brucella-Infected Abdominal Aortic Aneurysm: Long-Term Follow-Up

Cited by 9 publications

References 22 publications

Use of contrast‑enhanced computed tomographic imaging to diagnose and evaluate Beh�et's disease with vascular complications

Use of contrast‑enhanced computed tomographic imaging to diagnose and evaluate Beh�et's disease with vascular complications

Brucellosis involving the aorta and iliac arteries: a systematic review of 130 cases

Brucella Infectious Aneurysm: A Retrospective Study of 14 Cases and Review of the Literature – Case Report and Literature Review

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