Abdominal aortic aneurysm in a premature neonate with disseminated candidiasis: ultrasound and angiography

Khoss, A; Ponhold, W; Pollak, A; Schlemmer, M; Weninger, M.

doi:10.1007/bf02388367

Cited by 22 publications

(7 citation statements)

References 5 publications

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“…The use of such catheters may, however, be associated with serious complications: independent of the position of the catheter tip, sepsis, thrombosis, embolization and aortic aneurysms may be observed [1,2]. The use of such catheters may, however, be associated with serious complications: independent of the position of the catheter tip, sepsis, thrombosis, embolization and aortic aneurysms may be observed [1,2].…”

Section: Introductionmentioning

confidence: 99%

Effects of umbilical arterial catheterization on mesenteric hemodynamics

et al. 1996

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Impairment of mesenteric blood flow due to the use of umbilical artery catheters (UAC) may increase the risk of necrotizing enterocolitis (NEC) in newborn infants. We used Duplex Doppler sonography to investigate the degree of vessel obstruction due to UAC and their effect on visceral hemodynamics in 12 newborn infants. Ultrasonography was performed before and immediately after removal of the UAC, which was positioned above the ostia of the celiac and superior mesenteric arteries (SMA). Vessel diameter, peak systolic blood flow velocity (PSFV), end diastolic blood flow velocity (EDFV), and Pourcelot's resistance index (RI) were measured in the celiac trunk and the SMA within 1 cm of their origins. Removal of the UAC led to a significant increase in mean PSFV (celiac trunk: 50 cm/s +/- 15 vs 62 cm/s +/- 0.22, P < 0.05; SMA: 52 cm/s +/- 0.17 vs 72 cm/s +/- 0.21, P < 0.05). RI increased from 0.7 +/- 0.14 to 0.74 +/- 0.13 and from 0.73 +/- 0.1 to 0.76 +/- 0.13 for the celiac trunk and SMA, respectively. The EDFV and vessel diameters did not change significantly after UAC removal. Our results suggest that UAC cause a decrease in mesenteric blood flow. Therefore, their use in hemodynamically unstable neonates or in those with gastrointestinal disease should be very carefully considered.

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Section: Introductionmentioning

confidence: 99%

Effects of umbilical arterial catheterization on mesenteric hemodynamics

et al. 1996

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“…Aneurysms associated with UAC placement are rare, although they have been reported in at least 11 cases. 2,5,6 In 1 case a diagnosis was made on the basis of sonography before autopsy, but the sonogram in that case did not show the multiloculated retroperitoneal hematoma that resulted from aneurysm rupture, as was seen in our patient 2. 6 Most mycotic aortic aneurysms are localized to the abdominal aorta and related to S aureus infection.…”

Section: Discussionmentioning

confidence: 66%

Retroperitoneal abscess and mycotic aortic aneurysm: unusual septic complications of central vascular line placement in premature infants.

Lim-Dunham

Duncan

Yousefzadeh

et al. 2001

J of Ultrasound Medicine

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“…Of these cases, 17 occurring in SOT recipients have recently been reviewed [8]. In addition to the case described in the above section, 19 definite and 3 probable cases [4,33,34] occurring outside of the SOT setting are the subject of this review (table 1). The mean age of patients was 46 years (range, 1 month-80 years), and 17 patients were male.…”

Section: Resultsmentioning

confidence: 98%

“…Cases were considered to be definite if yeast elements were present microscopically, if Candida was grown in culture of a surgical artery-wall specimen or vascular graft [2, 3, 6, 8-10, 14-18, 20, 23-31], or if Candida organisms were present in culture of an aneurysm vegetation [32]. Probable cases were defined as those in patients with candidemia who had radiographic evidence of a new vascular (pseudo)aneurysm, in the absence of other compatible pathogens in blood or artery-wall culture [4,6,33,34].…”

Section: Methodsmentioning

confidence: 99%

CandidaArteritis in Patients Who Have Not Received Organ Transplants: Case Report and Review of the Literature

et al. 2008

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Fungal arteritis is a rare entity, associated with significant morbidity and mortality, that typically involves graft arteries in solid organ transplant recipients. Here, we report the first case of Candida carotid arteritis and review 22 other cases of Candida arteritis reported since 1966 in patients who have not received transplants. Most patients had serious underlying conditions. All cases were anatomically characterized by pseudoaneurysm formation. Patients presented with fever (n=7), local pain (n=13), and an expanding pulsatile mass (n=4), with subsequent rupture and hemorrhage (n=7). Evidence of Candida colonization or infection was present in 15 patients before arteritis occurred. Treatment typically included a combined surgical and antifungal approach. The outcome was favorable in 11 patients, but follow-up was limited. A high index of suspicion, early diagnosis, and prompt antifungal and surgical treatment seem crucial to efforts to avoid life-threatening arterial rupture and hemorrhage.

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Abdominal aortic aneurysm in a premature neonate with disseminated candidiasis: ultrasound and angiography

Cited by 22 publications

References 5 publications

Effects of umbilical arterial catheterization on mesenteric hemodynamics

Effects of umbilical arterial catheterization on mesenteric hemodynamics

Retroperitoneal abscess and mycotic aortic aneurysm: unusual septic complications of central vascular line placement in premature infants.

CandidaArteritis in Patients Who Have Not Received Organ Transplants: Case Report and Review of the Literature

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