Abstract
Two cases of mycotic suprarenal aortic aneurysm treated by anatomic reconstruction are presented. Diagnosis was facilitated by 67-Gallium Citrate Scanning, Computer Assisted Tomography (CT), and Angiography. Increasing symptoms with attenuation of the aortic wall identified by CT necessitated urgent resection and reconstruction in both patients. Contained rupture of the aneurysm was found in one patient. Cultures of the resected tissue grewSalmonella dublin andBacteroides fragilis. The patients were treated with continuous antibiotic therapy. Follow-up demonstrated asymptomatic patients with sterile blood cultured and good anatomic results on CT at one year. No recurrent sepsis nor aneurysmal dilatation is evident to date. Based on our experience and the available literature we conclude that inline reconstruction is the method of choice for treatment on these lesions.
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Suddleson, E.A., Katz, S.G. & Kohl, R.D. Mycotic suprarenal aortic aneurysm. Annals of Vascular Surgery 1, 426–431 (1987). https://doi.org/10.1007/BF02732665
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DOI: https://doi.org/10.1007/BF02732665