Patient-Tailored Approach for Diagnostics and Treatment of Mycotic Abdominal Aortic Aneurysm

Abstract

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Management and Outcome of Non-Aneurysmal Primary Aortic Infection

“…In studies of mycotic aneurysms roughly half of patients are found to have a fusiform aneurysm, not a pseudoaneurysm or saccular aneurysm suggesting that the aneurysm was present prior to the infection. [6][7][8] The other half are found to have a pseudoaneurysm or group of pseudoaneurysms which is consistent with infection of a previously nonaneurysmal aorta. In our series, patients were ill, and it would be difficult to imagine non-operative management until an aneurysm developed.…”

“…Mycotic aneurysms are thought to arise from bacterial seeding of the aortic wall by hematogenous spread or direct communication. 6 This infectious process progresses to pseudoaneurysm or a series of pseudoaneurysms. Infection of existing aortic aneurysms, however, is also known to occur by similar mechanisms.…”

“…[1][2][3][4][5] Mycotic aneurysms, although less common than aortic graft infection, are also well described. [6][7][8] Aortoenteric fistula is another well described condition associated with aortic infection. It can present as a delayed complication after aortic repair or from erosion of an untreated aneurysm into the enteric tract.…”

Capnocytophaga canimorsus Mycotic Aortic Aneurysm After a Dog Bite

“… 9 In the absence of consensus guidelines, and since there are significant variations in patient characteristics, diagnostic approaches and surgical and antibiotic treatment options, as this case highlights, a multidisciplinary and patient tailored approach including vascular surgeons, clinical microbiologists, and infectious disease experts is key to ensure the best management of patients with mycotic aortic aneurysms. 10 …”

Spectrum of Thoracic Imaging Findings in the Setting of Substance Abuse

“…39 An aneurysm may form in any part of the aorta but most commonly affects the descending thoracic aorta. 40 The rapid dilation and increased risk of rupture carry a poor prognosis and high 39,41 Patient presentations are largely nonspecific, with the most common symptoms being fever and chest pain. 39 In addition, pulmonary artery mycotic aneurysms may manifest with cough, dyspnea, and hemoptysis.…”