Document Detail


Repair of Salmonella mycotic aneurysm of the paravisceral abdominal aorta using in situ prosthetic graft.
MedLine Citation:
PMID:  9461276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Salmonella infection of the abdominal aorta is associated with a high mortality and morbidity, especially when the paravisceral segment is involved. The presentation may be vague and a high index of suspicion is required in order to make the diagnosis early so that prompt treatment can be instituted. Imaging techniques such as computed tomography and angiogram are useful in arriving at a diagnosis as well as planning of operation. The management of a patient with Salmonella mycotic aortic aneurysm includes potent antibiotics, adequate debridement and revascularization. The method of revascularization, in situ bypass or extra-anatomic bypass, has been the subject of controversy. In situ bypass involves placing a graft in an infected field with potentially fatal graft infection, while extra-anatomic bypass has the problem of inferior patency and the necessity of a future reconstruction. We report here a patient with Salmonella mycotic aneurysm of the paravisceral abdominal aorta successfully treated with in situ prosthetic bypass graft.
Authors:
A C Ting; S W Cheng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  38     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-02-18     Completed Date:  1998-02-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  665-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, The University of Hong-Kong, Queen Mary Hospital, Pokfulam.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Infected / surgery*
Aortic Aneurysm, Abdominal / microbiology,  surgery*
Blood Vessel Prosthesis Implantation*
Humans
Male
Salmonella Infections / surgery*

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


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