Mycotic aortic aneurysms: characteristic macroscopic findings in a case series.

Autor: Somers T; Department of Cardio-thoracic Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands., Nies HMJM; Department of Cardio-thoracic Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands., Kouijzer IJE; Department of Internal Medicine and Radboud Centre for Infectious Diseases, Radboud University Medical Centre, Nijmegen, The Netherlands., Lee PY; Department of Pathology, Radboud University Medical Centre, Nijmegen, The Netherlands., Morshuis WJ; Department of Cardio-thoracic Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands., Geuzebroek GSC; Department of Cardio-thoracic Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Jazyk: angličtina
Zdroj: Scandinavian cardiovascular journal : SCJ [Scand Cardiovasc J] 2024 Dec; Vol. 58 (1), pp. 2341696. Date of Electronic Publication: 2024 Apr 14.
DOI: 10.1080/14017431.2024.2341696
Abstrakt: Infected or mycotic aortic aneurysms (MAAs) are a rare type of aneurysms. Due to the high risk of rupture, MAAs are life-threatening conditions. Early diagnosis and treatment are necessary, yet MAAs are usually found coincidentally. We report 10 patients with MAAs in whom macroscopically, similar coined-sized lesions of the inner aortic wall were seen in all cases. When a coin-sized lesion in the inner aortic wall is seen during open surgical repair of an aortic aneurysm, the surgeon should consider an infectious cause. Microbiological tissue samples should be collected, and additional targeted antibiotic therapy should be started.
Databáze: MEDLINE