Infections of the aorta and iliac arteries. Report of 20 years experience in a single centre.

Abstract:

AIM:Retrospective review of aorto-iliac infections in a single vascular surgery center. METHODS:From a retrospective review of their experience in the last 20 years, the Authors analyze a series of 12 cases of aorto-iliac infection. Prognostic factors, surgical options and results are discussed and compared with the literature. RESULTS:Infections of the aorta eventually associated with aneurysmal degeneration are uncommon (less than 3% of all aortic aneurysms) but still a life-threatening condition with high hospital mortality (25%). No statistical evaluation can be drawn from small series; however, early results are apparently influenced by emergency surgery and comorbidities affecting the immune response; in-situ reconstruction is associated with better long-term results (patency 100%, recurrent infection 0%). CONCLUSIONS:In our experience, in situ aortic grafting reconstruction associated with proper antibiotic therapy obtained satisfactory results in terms of mortality and long-term survival Endovascular treatment can be adopted in critical patients with prohibitive surgical risk.

journal_name

Ann Ital Chir

authors

Ferrante A,Cina A,Tsiopoulos VD,Snider F

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

429-35

issue

6

eissn

0003-469X

issn

2239-253X

journal_volume

82

pub_type

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