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Article: Surgical treatment of infected aneurysms and pseudoaneurysms of the thoracic and abdominal aorta

TitleSurgical treatment of infected aneurysms and pseudoaneurysms of the thoracic and abdominal aorta
Authors
KeywordsInfected aneurysms
Surgical treatment
Thoracic and abdominal aorta
Issue Date2005
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg
Citation
American Journal Of Surgery, 2005, v. 189 n. 2, p. 150-154 How to Cite?
AbstractBackground: To review the outcome of infected aneurysms and pseudoaneurysms of the thoracic and abdominal aorta treated in a major teaching hospital. Methods: Between December 1994 and January 2003, 13 infected aortic aneurysms and pseudoaneurysms (5 thoracic, 4 paravisceral, 4 infrarenal) in 10 consecutive patients were treated surgically. Aortic debridement with in situ reconstruction is our standard practice. Endovascular repair was offered to suitable patients with thoracic aortic involvement. Results: There were six men and four women with a mean age of 63 years. The commonest pathogen was Salmonella species, accounting for 50% of the cases. Aortic debridement with in situ revascularization was performed for six patients with visceral reconstruction in four of them. One patient with aortic bifurcation involvement and gross purulent infection had ligation and debridement followed by right axillobifemoral bypass. Four infected thoracic aortic pseudoaneurysms in three other patients underwent endovascular repair. There was no hospital death, limb loss, renal failure, or intestinal ischemia. There were two late deaths from sepsis and pneumonia at 3 months and 77 months after operation. Eight patients were alive after a mean follow-up of 36 months and no late graft infection was evident. Conclusions: Surgical treatment for infected aortic aneurysms with in situ reconstruction is associated with favorable outcome and good long-term result. Endovascular repair has a potential role. © 2005 Excerpta Medica Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/147678
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.286
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorHo, Pen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorTsu, JHLen_HK
dc.date.accessioned2012-05-29T06:07:54Z-
dc.date.available2012-05-29T06:07:54Z-
dc.date.issued2005en_HK
dc.identifier.citationAmerican Journal Of Surgery, 2005, v. 189 n. 2, p. 150-154en_HK
dc.identifier.issn0002-9610en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147678-
dc.description.abstractBackground: To review the outcome of infected aneurysms and pseudoaneurysms of the thoracic and abdominal aorta treated in a major teaching hospital. Methods: Between December 1994 and January 2003, 13 infected aortic aneurysms and pseudoaneurysms (5 thoracic, 4 paravisceral, 4 infrarenal) in 10 consecutive patients were treated surgically. Aortic debridement with in situ reconstruction is our standard practice. Endovascular repair was offered to suitable patients with thoracic aortic involvement. Results: There were six men and four women with a mean age of 63 years. The commonest pathogen was Salmonella species, accounting for 50% of the cases. Aortic debridement with in situ revascularization was performed for six patients with visceral reconstruction in four of them. One patient with aortic bifurcation involvement and gross purulent infection had ligation and debridement followed by right axillobifemoral bypass. Four infected thoracic aortic pseudoaneurysms in three other patients underwent endovascular repair. There was no hospital death, limb loss, renal failure, or intestinal ischemia. There were two late deaths from sepsis and pneumonia at 3 months and 77 months after operation. Eight patients were alive after a mean follow-up of 36 months and no late graft infection was evident. Conclusions: Surgical treatment for infected aortic aneurysms with in situ reconstruction is associated with favorable outcome and good long-term result. Endovascular repair has a potential role. © 2005 Excerpta Medica Inc. All rights reserved.en_HK
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurgen_HK
dc.relation.ispartofAmerican Journal of Surgeryen_HK
dc.subjectInfected aneurysmsen_HK
dc.subjectSurgical treatmenten_HK
dc.subjectThoracic and abdominal aortaen_HK
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAneurysm, False - Microbiology - Surgeryen_US
dc.subject.meshAneurysm, Infected - Surgeryen_US
dc.subject.meshAortic Aneurysm, Abdominal - Microbiology - Surgeryen_US
dc.subject.meshAortic Aneurysm, Thoracic - Microbiology - Surgeryen_US
dc.subject.meshBlood Vessel Prosthesis Implantationen_US
dc.subject.meshDebridementen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPneumonia - Etiologyen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSalmonella Infections - Pathology - Surgeryen_US
dc.subject.meshSepsis - Etiologyen_US
dc.titleSurgical treatment of infected aneurysms and pseudoaneurysms of the thoracic and abdominal aortaen_HK
dc.typeArticleen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.amjsurg.2004.03.020en_HK
dc.identifier.pmid15720981-
dc.identifier.scopuseid_2-s2.0-13844296775en_HK
dc.identifier.hkuros97420-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-13844296775&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume189en_HK
dc.identifier.issue2en_HK
dc.identifier.spage150en_HK
dc.identifier.epage154en_HK
dc.identifier.isiWOS:000227103200004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridHo, P=24469553100en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridTsu, JHL=6507717202en_HK

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