Infected atherosclerotic ulcer of the abdominal aorta as a cause of mycotic aneurysm treated by in-situ prosthetic graft reconstruction: report of a case.

Abstract:

:A 68-year-old man with an infrarenal mycotic aneurysm underwent successful in-situ graft reconstruction using a woven Dacron graft. A tissue culture taken from the excised aortic wall revealed Staphylococcus epidermidis, and histological study subsequently showed penetrating atherosclerotic ulcers (PAU) involving all layers of the aortic wall and marked neutrophilic infiltration with abscess formation inside the ulcer. Atherosclerotic aortic lesions such as PAU are considered susceptible to bacterial infection, which may lead to the formation of an aneurysm after destruction of the vessel wall. Hence, elderly hypertensive patients, being at high risk for such aortic pathology, require careful studies performed to assess the aorta. The usefulness of computed tomographic (CT) scans to determine the presence of PAU or surrounding inflammation should be borne in mind even when a small mycotic aneurysm exists.

journal_name

Surg Today

journal_title

Surgery today

authors

Moriyama Y,Toda R,Iwamura H,Kawashima S,Shimokawa S,Toyohira H,Taira A

doi

10.1007/s005950050132

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

325-7

issue

3

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950050132

journal_volume

28

pub_type

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