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Surgery for mycotic aneurysm


Infected aneurysm (or mycotic aneurysm) is defined as an infectious disease of the wall of an artery with formation of a blind, saccular out-pouching that is contiguous with the arterial lumen. Symptoms are frequently absent or non-specific during the early stages. Once clinically presented, infected aneurysms are often at an advanced stage of development and associated with complications such as rupture. Nontreatment or delayed treatment of infected aneurysms has a poor outcome, with high morbidity and mortality rate of fulminant sepsis or hemorrhage. In clinically suspected cases, computed tomography is state –of-the-art technique used for diagnosis. Imaging features of infected aneurysms include a lobulated vascular mass, an indistinct irregular arterial wall, perianeurysmal edema, and a perianeurysmal soft-tissue mass. Urgent surgery performed for solving aortic rupture, carries high morbidity and mortality rates.

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Our experience with a 24 years old women suffering from mycotic aneurysm is related with three successive operations. Successful treatment was accomplished by aneurismal resection and in situ prosthetic reconstruction.


The best chance of survival in patients with this difficult condition depends on early computed tomography evaluation and prompt surgical intervention under appropriate and intensive antibiotic therapy.

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Correspondence to T Anguseva.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated.

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Mitrev, Z., Anguseva, T., Idoski, E. et al. Surgery for mycotic aneurysm. J Cardiothorac Surg 8 (Suppl 1), O29 (2013).

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