Surgical Management of Mycotic Aortic Aneurysms

• Aoki Chikashi

  Department of Thoracic and Cardiovascular Surgery, Hiro­saki University Graduate School of Medicine

• Fukuda Wakako

  Department of Thoracic and Cardiovascular Surgery, Hiro­saki University Graduate School of Medicine

• Kondo Norihiro

  Department of Thoracic and Cardiovascular Surgery, Hiro­saki University Graduate School of Medicine

• Minakawa Masahito

  Department of Thoracic and Cardiovascular Surgery, Hiro­saki University Graduate School of Medicine

• Taniguchi Satoshi

  Department of Thoracic and Cardiovascular Surgery, Hiro­saki University Graduate School of Medicine

• Daitoku Kazuyuki

  Department of Thoracic and Cardiovascular Surgery, Hiro­saki University Graduate School of Medicine

• Fukuda Ikuo

  Department of Thoracic and Cardiovascular Surgery, Hiro­saki University Graduate School of Medicine

抄録

Purpose: A mycotic aneurysm is an uncommon disease associated with a high mortality rate when managed surgically. This study reviewed our experiences in the surgical management of mycotic aortic aneurysms. Methods: In total, 26 patients who underwent surgery for a mycotic aneurysm were retrospectively reviewed. The mycotic aneurysms involved the thoracic aorta in 9 patients, the thoracoabdominal aorta in 4 patients, and the abdominal aorta in 13 patients. An overt aortic rupture in the mediastinum or retroperitoneal space was detected in 4 patients. Patients were classified into one of two groups, febrile or afebrile, and background characteristics, surgical intervention, and early and late mortalities were all compared. Results: There were 19 patients who underwent open surgery, and 7 patients underwent endovascular repair. No significant differences in the clinical characteristics were found between the two groups; however, the incidence of postoperative complications was significantly higher in the febrile group than in the afebrile group (P=0.024). Overall mortality was 15.4% (4/26), and 30-day mortality was 7.7% (2/26). Conclusion: Although febrile patients had a higher incidence of postoperative complications, surgical mortality from a mycotic aneurysm was within an acceptable range. Each patient should be thoroughly evaluated and treated on a case-by-case basis, using conventional open repair, endovascular repair, or a combination of both approaches.

収録刊行物

• Annals of Vascular Diseases

  Annals of Vascular Diseases 10 (1), 29-35, 2017

  Annals of Vascular Diseases 編集委員会

キーワード

• mycotic aortic aneurysm
• surgical management
• endovascular treatment

詳細情報

• CRID: 1390282680252243200
• NII論文ID: 130005475937
• DOI: 10.3400/avd.oa.16-00117
• ISSN: 18816428
• ISSN: 1881641X
• Web Site: https://www.jstage.jst.go.jp/article/avd/10/1/10_oa.16-00117/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2017362960
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可