Imaging features of mycotic aortic aneurysms

On the Diagnosis of Mycotic Aortic Aneurysms

Objective There is striking paucity in consensus on the terminology, definition, and diagnostic criteria of mycotic aortic aneurysms. This literature study aims to elucidate this scientific omission, discuss its consequences, and present a proposition for reporting items on this disease. Methods A systematic literature review on PubMed and Medline using mycotic and infected aortic aneurysms b...

Surgical Management of Mycotic Aortic Aneurysms

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 thoracoabdomina...

Infected (“Mycotic”) Thoracic Aneurysms: Pathophysiology and Imaging

Development of Multiple Aortic Mycotic Aneurysms After Cardiac Catheterization

A 71-year-old male with a past medical history of coronary artery bypass surgery developed multiple, infected pseudoaneurysms of the ascending aorta and aortic root 1 year after cardiac catheterization. He underwent aortic root replacement with a 24-mm homograft. Tissue culture from operative specimens revealed invasive Aspergillus fumigatus infection. He was treated with voriconazole for 3 mon...

Ten-year experience with surgical repair of mycotic aortic aneurysms.

BACKGROUND Mycotic aneurysm remains a lethal pathologic entity, especially when rupture occurs. It may result from primary aortitis, be induced by septic emboli, or be secondary to an adjacent infection, such as pancreatitis or a psoas muscle abscess. Surgical intervention is the only way to treat such disease. Even when successful repair is achieved by insertion of an interposition in situ gra...