A ten-year experience with bacterial aortitis

Öz, Mehmet C.; Brener, Bruce J.; Buda, J; Todd, George J.; Brenner, Richard W.; Goldenkranz, Robert J.; McNicholas, Kathleen W.; Lemole, Gerald M.; Lozner, Jerome S.

doi:10.1067/mva.1989.14207

Cited by 26 publications

(17 citation statements)

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“…Staphylococcus aureus and Salmonella are the organisms most commonly identified (202)(203)(204). Pneumococcus and Escherichia coli are relatively common gram-positive and gram-negative pathogens, respectively.…”

Section: Infective Thoracic Aortic Aneurysmsmentioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

Hiratzka¹,

Bakris²,

Beckman³

et al. 2010

Journal of the American College of Cardiology

1,292

396

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Section: Infective Thoracic Aortic Aneurysmsmentioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

Hiratzka¹,

Bakris²,

Beckman³

et al. 2010

Journal of the American College of Cardiology

1,292

396

View full text Add to dashboard Cite

“…Salmonella species and Staphylococci are the most popular organisms of infectious AAA. 3,5 The diagnosis can be confirmed by CT scanning or an ultrasound examination besides sepsis or inflammatory signs. The surgical treatment remains controversial.…”

Section: Discussionmentioning

confidence: 99%

“…Oz et al reported three surgically treated patients who developed mycotic AAA while receiving steroids. 5 One was treated by an extraanatomic bypass and two by an insitu bypass. There was one survivor who received in-situ grafting.…”

Section: Discussionmentioning

confidence: 99%

Mycotic abdominal aortic aneurysm associated with myelodysplastic syndrome (MDS): Report of a case

et al. 1998

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A 59-year-old man, who manifested lower back pain, was admitted with sepsis and disseminated intravascular coagulation (DIC). A computed tomographic scan showed a slight thickening of the abdominal aortic wall. A blood examination revealed pancytopenia. Myelodysplastic syndrome was diagnosed after bone marrow aspiration and a chromosome analysis. Sepsis due to a Staphylococcus aureus infection and DIC subsided after medical treatment; however, an aortobifemoral bypass was performed upon the detection of a localized rupture of a mycotic abdominal aortic aneurysm 1 month later. The patient is still alive 2 years after operation despite the presence of a hematological disorder.

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“…Infectious aortitis is an inflammatory process within the arterial wall induced by microorganisms [1][2][3][4][5][6][7][8]. Normally, the aorta is very resistant to infection; however, infectious aortitis may develop in either a normal or diseased aorta (due to atherosclerosis, syphilis, or cystic medial necrosis) or in an aortic prosthesis (Table 1) [9,10].…”

Section: Introductionmentioning

confidence: 99%

Infectious Aortitis

Foote¹,

Postier²,

Greenfield³

et al. 2005

Curr Treat Options Cardio Med

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Infection of the aorta usually results from septic embolization to the vasa vasorum, hematogenous seeding of an existing aneurysm, or extension from a contiguous site of infection. The diagnosis should be considered in patients, often men over the age of 50 years with atherosclerosis, who present with fever, abdominal pain, palpable abdominal mass, and leukocytosis, with or without positive blood cultures. In the pre-antibiotic area, infectious aortitis was largely a complication of infective endocarditis, and was usually caused by group A streptococci, Streptococcus pneumoniae, or Haemophilus influenzae. Now a diverse array of bacteria and fungi has been associated, most commonly Salmonella species, which comprise nearly one third of the abdominal aortic infections and Staphylococcus aureus. Computed tomography is the most useful imaging modality. Medical treatment alone carries a high mortality, whereas the mortality with surgery combined with antimicrobial treatment is lower. Empiric antibiotics effective against S. aureus and gram-negative rods, such as Salmonella, should be initiated in cases identified before microbiologic diagnosis. Surgical debridement and revascularization should be completed early because delay may lead to aneurysm rupture, which increases mortality. The intent of surgery is to 1) control hemorrhage, if the aneurysm has ruptured; 2) confirm the diagnosis; 3) control sepsis; and 4) reconstruct the arterial vasculature. The patient should remain on parenteral or oral antibiotics for at least 6 weeks, perhaps longer, to assure full eradication of the pathogen and prevent recurrent infection. Close medical follow-up is indicated and includes serial blood cultures and computed tomography scans.

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A ten-year experience with bacterial aortitis

Cited by 26 publications

References 0 publications

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

Mycotic abdominal aortic aneurysm associated with myelodysplastic syndrome (MDS): Report of a case

Infectious Aortitis

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