Document Detail


Bilateral splenorenal bypass and axillofemoral graft for management of juxtarenal mycotic aneurysm.
MedLine Citation:
PMID:  8782930     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The principles of treatment of mycotic aortic aneurysms are not well established and the optimal method of revascularization--extra-anatomic bypass or in situ grafting--is still debated. Infection of the juxtarenal or suprarenal aorta poses an additional challenge in management because of the requirement for visceral revascularization. The case of a 73-year-old man is reported who developed several mycotic aneurysms of the juxtarenal, infrarenal aorta and right main iliac artery following a Candida infection. He was successfully treated with suprarenal aortic ligation, aneurysmal excision, splenorenal bilateral bypass and systemic antifungal therapy. The patient subsequently underwent extra-anatomic revascularization of the lower extremities with a left axillobifermoral bypass involving a polytetrafluoroethylene graft.
Authors:
C Marty-Ané; P Alric; M Prudhomme; E Picard; H Mary
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  4     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-12-09     Completed Date:  1996-12-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  331-4     Citation Subset:  IM    
Affiliation:
Service de Chirurgie Thoracique et Vasculaire, Hôpital Arnaud de Villeneuve, Centre Hospitalier Universitaire, Montpellier, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Infected / radiography,  surgery*
Angiography, Digital Subtraction
Antifungal Agents / administration & dosage
Aortic Aneurysm, Abdominal / radiography,  surgery*
Axillary Artery / radiography,  surgery
Blood Vessel Prosthesis*
Candidiasis / radiography,  surgery*
Colonic Polyps / surgery
Combined Modality Therapy
Femoral Artery / radiography,  surgery
Humans
Kidney / blood supply*
Male
Postoperative Complications / radiography,  surgery
Renal Artery / radiography,  surgery*
Splenic Artery / radiography,  surgery*
Tomography, X-Ray Computed
Veins / transplantation*
Chemical
Reg. No./Substance:
0/Antifungal Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Prognostic significance of intrarenal resistance indices in patients with renal artery interventions...
Next Document:  Is transcranial Doppler effective in avoiding the hazards of carotid surgery?