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Mycotic Aneurysm in the Aortoiliac Area - Current Options for Treatment

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KREJČÍ Miroslav STAFFA Robert DVOŘÁK Martin DVORAK M. VOJTÍŠEK B. KŘÍŽ Z. KONEČNÝ Zdeněk BUČEK Jan

Rok publikování 2015
Druh Článek v odborném periodiku
Časopis / Zdroj Zentralblatt fur Chirurgie
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.1055/s-0032-1328215
Obor Chirurgie včetně transplantologie
Klíčová slova autologous femoral vein; in-situ prosthesis; mycotic aneurysm; stent graft
Popis Background: Infection represents a less frequent cause for the development of an abdominal aortic aneurysm. The diagnosis is associated with a high risk of rapir progression and rupture. Case Reports: Case 1 is a female operated on urgently for a ruptured mycotic aneurysm of the abdominal aorta. After resection of the aneurysm, we performed in situ replacement using a rifampicin-soaked vascular prosthesis. In case 2, an asymptomatic aneurysm of the right iliac artery was treated by endovascular implantation of a stent-graft. Both patients were treated with antibiotics concurrently and are still alive. Discussion: The discussion deals with the up-to-date treatment modalities for mycotic aneurysms in the aorto-iliac region. The indication criteria must be adjusted individually. Conclusion: The prognosis of patients with a mycotic aneurysm depends particularly on an early diagnosis.

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