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  • Title: Mycotic Aneurysm in the Aortoiliac Area - Current Options for Treatment.
    Author: Krejcí M, Staffa R, Dvorák M, Holub R, Vojtíšek B, Kríž Z, Konecný Z, Bucek J.
    Journal: Zentralbl Chir; 2015 Oct; 140(5):561-4. PubMed ID: 23761294.
    Abstract:
    BACKGROUND: Infection represents a less frequent cause for the development of an abdominal aortic aneurysm. The diagnosis is associated with a high risk of rapir progression and rupture. CASE REPORTS: Case 1 is a female operated on urgently for a ruptured mycotic aneurysm of the abdominal aorta. After resection of the aneurysm, we performed in situ replacement using a rifampicin-soaked vascular prosthesis. In case 2, an asymptomatic aneurysm of the right iliac artery was treated by endovascular implantation of a stent-graft. Both patients were treated with antibiotics concurrently and are still alive. DISCUSSION: The discussion deals with the up-to-date treatment modalities for mycotic aneurysms in the aorto-iliac region. The indication criteria must be adjusted individually. CONCLUSION: The prognosis of patients with a mycotic aneurysm depends particularly on an early diagnosis.
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