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Mycotic Aneurysms Affecting Both Lower Legs of a Patient with Candida Endocarditis—Endovascular Therapy and Open Vascular Surgery

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

The purpose of this study was to report the endovascular and open surgery treatment of Candida-associated mycotic aneurysms in both lower limbs. A 53-year-old patient suffering from Candida endocarditis following aortic valve replacement developed mycotic aneurysms in both lower limbs. The angiography revealed a large aneurysm of the the tibioperoneal trunk affecting the right leg. In the left leg, sacculation had developed in section III of the popliteal artery. The right aneurysm was obliterated by embolization with coils. On the left side, the large aneurysm of the popliteal artery was resected; vascular continuity was re-established by interposing a segment of the patient’s greater saphenous vein. The postoperative course was uneventful. Mycotic aneurysm is a rare disease. A site in the crural vessels is regarded as exceptionally seldom. To our knowledge, no Candida-associated mycotic aneurysm has been described in this region before. Both endovascular treatment and open surgery proved to be successful.

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Authors and Affiliations

  1. Department of Surgery, University School of Medicine, Wurzburg, Germany, Germany

    Axel Larena-Avellaneda MD & Eike S. Debus MD

  2. Center for Vascular Diseases, General Hospital Hamburg-Harburg, Hamburg, Germany

    Axel Larena-Avellaneda MD, Eike S. Debus MD, Harald Daum MD, Walter Gross-Fengels MD & Herbert Imig MD

  3. Department of Cardiology, Barmbek Hospital, Hamburg, Germany

    Martin Kindel MD

Authors
  1. Axel Larena-Avellaneda MD
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  2. Eike S. Debus MD
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  3. Harald Daum MD
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  4. Martin Kindel MD
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  5. Walter Gross-Fengels MD
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  6. Herbert Imig MD
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Corresponding author

Correspondence to Axel Larena-Avellaneda MD.

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Larena-Avellaneda, A., Debus, E.S., Daum, H. et al. Mycotic Aneurysms Affecting Both Lower Legs of a Patient with Candida Endocarditis—Endovascular Therapy and Open Vascular Surgery. Ann Vasc Surg 18, 130–133 (2004). https://doi.org/10.1007/s10016-003-0088-9

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  • DOI: https://doi.org/10.1007/s10016-003-0088-9

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