Mycotic superior mesenteric pseudoaneurysm draining into a vein

Shiraishi, Manabu; Ohki, Shin‐ichi; Misawa, Yoshio

doi:10.1510/icvts.2010.251645

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…The patient in this case report presented with hoarseness, which is believed to be due to thoracic aortic arch aneurysm causing impingement of the left recurrent laryngeal nerve 26 27. Other clinical presentations of deeper infected aneurysms include gastrointestinal bleeding (due to an aorta-duodenal fistula),28 heart failure or massive haemoptysis 29 30…”

Section: Discussionmentioning

confidence: 85%

Unexpected source ofProteus mirabilisbacteraemia

Nagiah

Badbess

2018

BMJ Case Rep

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Mycotic (infected) aneurysm involving the thoracic aorta is an exceedingly rare and life-threatening condition that is associated with high morbidity and mortality. We report an unusual source of Proteus mirabilis bacteraemia thought to be due to an infected aneurysm in the thoracic aortic arch in an elderly woman. Source of gram-negative bacteraemia is usually isolated to an intra-abdominal or a pelvic source. Proteus bacteraemia from an intrathoracic pathology is very uncommon, and in this case led to a delay in diagnosis. Although an infected aneurysm is a rare source of gram-negative bacteraemia, it must always be considered when common causes of bacteraemia have been ruled out especially in patients with vascular risk factors.

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Section: Discussionmentioning

confidence: 85%

Unexpected source ofProteus mirabilisbacteraemia

Nagiah

Badbess

2018

BMJ Case Rep

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“…These cases have a high mortality rate (38%–50%) that is related to intractable complications, such as internal ischemia and aneurysm rupture [ 1 , 2 ]. Infectious aneurysm is a complication of infective endocarditis that is caused by septic embolism, although it typically involves an intracranial vessel [ 3 ]. However, the occurrence of an SMA aneurysm is also often associated with infective endocarditis.…”

Section: Discussionmentioning

confidence: 99%

Open Surgical Repair Using the Femoral Vein for a Mycotic Superior Mesenteric Artery Aneurysm

Namkoong

Hong

Kim

et al. 2018

Korean J Thorac Cardiovasc Surg

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Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain and heart murmur. The echocardiographic diagnosis was vegetation on the aortic and mitral valves, with moderate regurgitation from both valves due to infective endocarditis. No aneurysm was detected on abdominal computed tomography, and emergency double-valve replacement was performed. On postoperative day 25, the patient experienced abrupt abdominal pain, and computed tomography revealed a mycotic SMA aneurysm. Open surgical repair of the SMA aneurysm was performed using the femoral vein, and the patient’s postoperative course was uneventful.

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“…In group A, 8 (44.4%) patients were treated surgically, 3,4,10,13 8 (44.4%) patients underwent endovascular procedures, 1,6,8,9,11,12,14 and 2 (11.1%) patients were treated conservatively. 1,7,15 In Group B Open surgery was the elective treatment of aneurysm in 20 (90.5%) patients 1,[16][17][18][19][20][21][22]24,[26][27][28][29][30][31][32][33][34][35] and endovascular procedures for 2 (9.5%) patients, 23,25 and 1 patient died before the intervention. 15 No prosthetic graft was used in group B.…”

Section: Discussionmentioning

confidence: 99%

“…Previous literary works have quoted more than 38% to 50% of patients with SMAA as being affected by a ruptured aneurysm 1 ; in our review, the rupture is assessed as being 21%. 6,10,11,23,24,[31][32][33][34] The resultant mortality rate 30% to 90% is significantly worse than that occurring in those patients who undergo a repair of intact aneurysms (<15%). 1 Our study confirmed a mortality rate of 27% 14,15,33 in complicated SMAA and absent mortality in uncomplicated ones.…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Aneurysm Caused by Aortic Valve Endocarditis

Troia

Mottini

Biasi

et al. 2016

Vasc Endovascular Surg

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Infectious aneurysms of the superior mesenteric artery are a rare but life-threatening condition due to the risk of visceral ischemia, sepsis, or hemorrhage. In this study, we report the case of a superior mesenteric artery aneurysm (SMAA) secondary to a bioprosthetic valve endocarditis, successfully managed with aneurysm resection and saphenous vein interposition graft. We performed an extensive PubMed-based rewiew of the literature of the last 10 years on SMAA, which include the detection of 38 articles quoting 41 SMAAs. The case histories were divided in 2 groups: 18 cases belonged to nonmycotic group A and 23 cases were included in mycotic group B. In group A, 44.4% of patients were treated surgically, whereas in group B, 90.5%. The 2 study groups significantly differed (P = .01) in terms of surgical treatment. The surgical approach still remains the first choice of treatment in mycotic aneurysm.

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Mycotic superior mesenteric pseudoaneurysm draining into a vein

Cited by 6 publications

References 7 publications

Unexpected source ofProteus mirabilisbacteraemia

Unexpected source ofProteus mirabilisbacteraemia

Open Surgical Repair Using the Femoral Vein for a Mycotic Superior Mesenteric Artery Aneurysm

Superior Mesenteric Artery Aneurysm Caused by Aortic Valve Endocarditis

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