Resection of Mycotic Iliac Artery Aneurysm with Extra-Anatomic Bypass: An Alternative to Aneurysmorrhaphy in Difficult Situations

Mycotic aneurysms of the iliac and other large arteries are rare and are associated with increased morbidity and mortality. Treatment of mycotic aneurysms usually requires modification of the surgical technique done for cases of degenerative or atherosclerotic aneurysms. Degenerative and atheroscler...

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Published inRevista brasileira de cirurgia cardiovascular Vol. 39; no. 4; p. e20230350
Main Authors Goyal, Vikas Deep, Misra, Gaurav, Pahade, Akhilesh, Prajapati, Neeraj
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Cirurgia Cardiovascular 01.01.2024
Subjects
Aneurysm, Infected - diagnostic imaging
Aneurysm, Infected - surgery
Blood Vessel Prosthesis Implantation - methods
CARDIAC & CARDIOVASCULAR SYSTEMS
Humans
Iliac Aneurysm - diagnostic imaging
Iliac Aneurysm - surgery
Iliac Artery - surgery
Male
SURGERY
Treatment Outcome
Abdominal Aortic Aneurysm
Arteries
Infected Aneurysm, Morbidity
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Summary:Mycotic aneurysms of the iliac and other large arteries are rare and are associated with increased morbidity and mortality. Treatment of mycotic aneurysms usually requires modification of the surgical technique done for cases of degenerative or atherosclerotic aneurysms. Degenerative and atherosclerotic fusiform aneurysms are usually managed with aneurysmorrhaphy using a prosthetic graft, which however is not ideal for mycotic aneurysms. Avoidance of prosthetic material at the site of mycotic aneurysm is a better option with higher chances of resolution of infection and favorable patient outcome.
Bibliography:ObjectType-Case Study-2
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ISSN:1678-9741
1678-9741
DOI:10.21470/1678-9741-2023-0350