Repair of multiple mycotic aortic aneurysms in a newborn

Esper, Eduardo; Krabill, Kimberly A.; Cyr, John A. St.; Patton, Ceeya; Foker, John E.

doi:10.1016/0022-3468(93)90094-2

Cited by 9 publications

(7 citation statements)

References 11 publications

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“…Although mycotic aneurysms have been reported in all age groups, including newborns, the typical patient is elderly and atherosclerotic. 6,15,16 In our study, the mean age of the patients, 64 years, was comparable to that for all of the other patients who underwent aneurysm surgery at our institution. 17 Over the past 30 years, there has been a change in the etiology of mycotic aneurysms.…”

Section: Discussionsupporting

confidence: 65%

Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic repair in 33 cases

Müller¹,

Wegener²,

Grabitz³

et al. 2001

Journal of Vascular Surgery

579

546

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A mycotic aneurysm of the aortic iliac region remains a life-threatening condition, especially if the aneurysm has already ruptured by the time of surgery. Although the content of the aneurysm sac is considered septic, as was proved by positive cultures in 85% of our patients, in situ reconstruction is feasible and, surprisingly, was not more closely related to higher morbidity and mortality in our series than ligation and extra-anatomic reconstruction, although most of the aneurysms repaired in situ were located at the suprarenal and thoracoabdominal aorta. We assume that our operative mortality rate of 36%, which relates to a rupture rate of 85%, could be substantially lowered if the diagnosis of mycotic aneurysm were established before rupture.

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Section: Discussionsupporting

confidence: 65%

Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic repair in 33 cases

Müller¹,

Wegener²,

Grabitz³

et al. 2001

Journal of Vascular Surgery

579

546

View full text Add to dashboard Cite

show abstract

“…With the exception of coronary and intracranial aneurysms, fewer than 200 paediatric cases have been reported (Darden et al, 1984;Sarkar et al, 1991;Cribari et al, 1992;Esper et al, 1993). We present a case in which an abdominal aortic aneurysm was diagnosed prenatally.…”

Section: Introductionmentioning

confidence: 81%

Prenatal Ultrasound Diagnosis of Abdominal Aortic Aneurysm With Fibrotic Occlusion in Aortic Branch Vessels

et al. 1997

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In a 35‐year‐old multiparous patient, an ultrasound scan performed at 32 weeks' gestational age for size less than dates revealed an appropriately grown fetus with a two‐vessel umbilical cord. Also noted were dilated, tortuous abdominal and pelvic vessels. A scan at 33·5 weeks confirmed the two‐vessel cord and noted a widely dilated abdominal aorta and a left foot 2 cm shorter than the right. Delivery at 36 weeks was followed by a neonatal course complicated by thromboses, renovascular hypertension, and a newly patent ductus with pulmonary hypertension. Successful ligation was followed by acute pulmonary hypertension, cardiac dysfunction and death. Autopsy findings included aneurysmal dilation of the abdominal aorta without evidence of arterial wall pathology. © 1997 John Wiley & Sons, Ltd.

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“…Although many aneurysms are asymptomatic at presentation, indications for surgery include rapid increase in size, rupture, and compromise of adjacent organs or distal limbs. Reported surgical repairs of infected thoracoabdominal aneurysms have used prosthetic grafts [5]. In addition, 1 case report describes an end-to-end primary anastomosis of an isolated iliac artery aneurysm [6].…”

Section: Discussionmentioning

confidence: 99%

Infected common iliac artery aneurysm repaired in an infant with cadaveric vein graft

Monahan

Neville

Saigal

et al. 2012

Journal of Pediatric Surgery

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Repair of multiple mycotic aortic aneurysms in a newborn

Cited by 9 publications

References 11 publications

Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic repair in 33 cases

Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic repair in 33 cases

Prenatal Ultrasound Diagnosis of Abdominal Aortic Aneurysm With Fibrotic Occlusion in Aortic Branch Vessels

Infected common iliac artery aneurysm repaired in an infant with cadaveric vein graft

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