Mycotic arterial aneurysms

ABSTRACT

Fifteen patients with mycotic arterial aneurysms were studied. Fourteen were males with the age averaged 40 years. Pain, palpable swelling, fever and leucocytosis were the commonest clinical features. The source of infection was due to invasive procedure or bullet injury in 11 and unknown in 4. Staphylococcus aureus was the commonest organism [60%]. The common femoral artery was frequently affected, but no peripheral artery was immune. Resection and drainage was the main line of treatment. Reconstruction was attempted if the lesion was encapsulated and restoration of blood flow was essential to the vitality of the limb. A bypass procedure through noninfected area with autologous vein using monofilament sutures was the method recommended