| Surgical Outcome for Mycotic Aortic and Iliac Anuerysm. | |
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MedLine Citation:
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PMID: 21541801 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: The present study was designed to review surgical outcomes for mycotic aneurysm of the aortic or iliac arteries at a single center. METHODS: The study was based on retrospective chart review of patients undergoing operation for mycotic aneurysm. RESULTS: From January 1998 to December 2007, 56 patients received surgical treatment for mycotic aneurysm of the aortic or iliac arteries. Aneurysm sites included the aortic arch (n = 5), proximal thoracic aorta (n = 4), distal thoracic aorta (n = 5), paravisceral aorta (n = 5), juxtarenal aorta (n = 4), infrarenal aorta (n = 30), and iliac arteries (n = 3). Salmonella was the leading pathogen (n = 34). Nineteen patients with suprarenal lesions underwent in situ prosthetic graft replacement (n = 17), extra-anatomic bypass (n = 1), or endovascular aneurysm repair (EVAR) (n = 1), and 37 patients with infrarenal lesions underwent the same procedures (n = 16, 20, and 1, respectively). Overall in-hospital mortality was 23%. After discharge, four patients (7%) developed reinfection that led to fatal sepsis. Graft infection developed after three in situ prosthetic grafts (9%) and one extra-anatomic bypass (5%). Patients with suprarenal aortic lesions had poorer in-hospital (34%) and late (16%) mortality rates than those with infrarenal lesions (p = 0.025). Those with suprarenal lesions also had a lower cumulative survival rate (p = 0.016). CONCLUSIONS: The location of mycotic aneurysm was the determinant of mortality. Mycotic aneurysm of the suprarenal aorta has poor prognosis and requires alternative surgical treatment. |
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Authors:
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Sheng-Yueh Yu; Hung-Chang Hsieh; Po-Jen Ko; Yao-Kuang Huang; Jaw-Ji Chu; Chun-Hui Lee |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-5-4 |
Journal Detail:
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Title: World journal of surgery Volume: - ISSN: 1432-2323 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-5-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7704052 Medline TA: World J Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Division of Thoracic & Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5, Fushing Street, Gueishan Shiang, Taoyuan, 333, Taiwan, Republic of China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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