Treatment of primary infected aortic aneurysm without aortic resection

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Treatment of primary infected aortic aneurysm without aortic resection Sheng-Yueh Yu, MD, Chun-Hui Lee, MD, Hung-Chang Hsieh, MD, An-Hsun Chou, MD, Po-Jen Ko, MD Journal of Vascular Surgery Volume 56, Issue 4, Pages 943-950 (October 2012) DOI: 10.1016/j.jvs.2012.03.018 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Typical image findings of primary infected aortic aneurysm. (A) Saccular aneurysm (arrow) and abnormal fluid accumulation (arrowhead). (B) Para-aortic gas formation (arrowhead). Journal of Vascular Surgery 2012 56, 943-950DOI: (10.1016/j.jvs.2012.03.018) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Patient #10 had a pararenal infected aortic aneurysm. (A) He received antibiotic treatment alone; and treatment was successful initially. (B) A rapid enlargement of the infected aortic aneurysm was detected in follow-up computed tomography (CT) scans 1 month after discharge. (C and D) He underwent a late hybrid operation (visceral debranching, rerouting, and endovascular grafting). Journal of Vascular Surgery 2012 56, 943-950DOI: (10.1016/j.jvs.2012.03.018) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Patient #15 had abdominal discomfort, lower back pain, and elevated C-reactive protein levels 1 month after discharge. Follow-up computed tomography (CT) scans demonstrated reinfection with abscesses in the bilateral psoas muscles and no evidence of stent graft infection. He received another course of broad-spectrum intravenous antibiotic therapy and recovered uneventfully. He is well after 13 months of follow-up. Journal of Vascular Surgery 2012 56, 943-950DOI: (10.1016/j.jvs.2012.03.018) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Clinical outcomes of treating 16 patients with infected aortic aneurysm without undergoing aortic resection. EVAR, Endovascular aneurysm repair. Journal of Vascular Surgery 2012 56, 943-950DOI: (10.1016/j.jvs.2012.03.018) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 There was no significant difference between group I (67%; SE, 27.2%) and group II (86%; SE, 13.2%) in the 3-month survival rates, which were calculated using the Kaplan-Meier method (log-rank, P = .39). EVAR, Endovascular aneurysm repair. Journal of Vascular Surgery 2012 56, 943-950DOI: (10.1016/j.jvs.2012.03.018) Copyright © 2012 Society for Vascular Surgery Terms and Conditions