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Outcomes of Open Repair of Mycotic Aortic Aneurysms with In Situ Replacement
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 430-435, 2017.
Artigo em Inglês | WPRIM | ID: wpr-175189
ABSTRACT

BACKGROUND:

Mycotic aortic aneurysms are rare and life-threatening. Unfortunately, no established guidelines exist for the treatment of patients with mycotic aortic aneurysms. The purpose of this study was to evaluate the midterm outcomes of the open repair of mycotic thoracic and thoracoabdominal aneurysms and suggest a therapeutic strategy.

METHODS:

From 2006 to 2016, 19 patients underwent open repair for an aortic aneurysm. All infected tissue was extensively debrided and covered with soft tissue. We recorded the clinical findings, anatomic location of the aneurysm, bacteriology results, antibiotic therapy, morbidity, and mortality for these cases.

RESULTS:

The median age was 62±7.2 years (range, 16 to 78 years), 13 patients (68%) were men, and the mean aneurysm size was 44.5±4.9 mm. The mean time from onset of illness to surgery was 14.5±2.4 days. Aortic continuity was restored in situ with a Dacron prosthesis (79%), homograft (16%), or Gore-Tex graft (5%). Soft-tissue coverage of the prosthesis was performed in 8 patients. The mean follow-up time was 43.2±11.7 months. The early mortality rate was 10.5%, and the 5-year survival rate was 74.9%±11.5%.

CONCLUSION:

This study showed acceptable early and midterm outcomes of open repair of mycotic aneurysms. We emphasize that aggressive intraoperative debridement with soft-tissue coverage results in a high rate of success in these high-risk patients.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Aneurisma Aórtico / Politetrafluoretileno / Próteses e Implantes / Bacteriologia / Aneurisma Infectado / Taxa de Sobrevida / Seguimentos / Mortalidade / Aneurisma da Aorta Torácica / Aneurisma da Aorta Abdominal Tipo de estudo: Guia de Prática Clínica / Estudo observacional / Estudo prognóstico Limite: Humanos / Masculino Idioma: Inglês Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Aneurisma Aórtico / Politetrafluoretileno / Próteses e Implantes / Bacteriologia / Aneurisma Infectado / Taxa de Sobrevida / Seguimentos / Mortalidade / Aneurisma da Aorta Torácica / Aneurisma da Aorta Abdominal Tipo de estudo: Guia de Prática Clínica / Estudo observacional / Estudo prognóstico Limite: Humanos / Masculino Idioma: Inglês Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2017 Tipo de documento: Artigo