False Aneurysm Infected by Aspergillus Fumigatus: An Unusual Complication of Aortofemoral Bypass Graft

Nussaume, O; Elzaabi, Mazel; Icard, P; Branger, Catherine; Bouttier, Samuel; Andréassian, B

doi:10.1007/bf02000506

Cited by 19 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Aspergillus graft infections usually occur on the suture line of a previous aortotomy [280]. Definitive diagnostic procedures for these patients generally involve culture of the excised aortic graft or the peripheral embolus, and biopsy of the contiguously affected vertebral disk space [277,281–284]. As with endocarditis, almost all cases have involved immunocompetent males [277,278,281–290].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Definitive diagnostic procedures for these patients generally involve culture of the excised aortic graft or the peripheral embolus, and biopsy of the contiguously affected vertebral disk space [277,281–284]. As with endocarditis, almost all cases have involved immunocompetent males [277,278,281–290]. The median time from the placement of the graft to diagnosis is 8 months, which is a longer period than that for Candida graft infections (usually <6 weeks) [279].…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Post-operative aspergillosis

Pasqualotto

Denning

2006

Clinical Microbiology and Infection

157

173

View full text Add to dashboard Cite

While invasive aspergillosis occurs typically in severely immunocompromised patients, cases of surgical site infection have been reported in immunocompetent individuals. The Medline, LILACS and EMBASE databases were searched for descriptions of cases of post-operative aspergillosis, and references from relevant articles and conference abstracts were reviewed. More than 500 cases of post-operative aspergillosis were found. Cardiac surgery (n = 188), ophthalmological surgery (n > 90) and dental surgery (n > 100) were associated with the majority of cases. Other cases involved wound infections (n = 22), bronchial infections (n = 30), mediastinitis (n = 11), pleural aspergillosis (n = 1), infections following orthopaedic surgery (n = 42), vascular prosthetic surgery (n = 22), breast surgery (n = 5), abdominal surgery (n = 10) and neurosurgery (n = 25). In most patients, the source was presumed to be airborne infection during the surgical procedure. Prevention of these infections requires special care of the ventilation system in the operating room. Successful treatment requires rapid diagnosis, surgical debridement and antifungal therapy, often with voriconazole. In order to improve the outcome, better diagnostic methods are needed, particularly for cases of endocarditis and aortitis.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Post-operative aspergillosis

Pasqualotto

Denning

2006

Clinical Microbiology and Infection

157

173

View full text Add to dashboard Cite

show abstract

“…Except for two cases, blood cultures were negative and, as no specific radiological signs exist, diagnosis without tissue sample becomes extremely difficult. 1,2 Infection can be associated with pseudoaneurysm formation 1,4,5 or, more often, with thromboembolic complications. 1,2,4 Excision of the previous grafts (followed by either extra-anatomic or in situ bypass), thrombectomies without excision of the graft and amputations have been described.…”

Section: Discussionmentioning

confidence: 99%

A rare case of peripheral vascular graft infection by Aspergillus fumigatus and review of the literature

Zosimas

Abukar

Srilekha

2017

annals

View full text Add to dashboard Cite

We present an unusual case of a 74-year-old woman who presented with a pseudoaneurysm at the site of a previous prosthetic femoro-popliteal bypass graft and underwent an urgent repair with pseudoaneurysm excision and extra-anatomic placement of an autologous venous graft. Microbiology examination revealed Aspergillus fumigatus infection of the graft, which is a very rare condition. Long-term antifungal medication has been administrated with positive outcome. Only a few cases have been reported in literature, mainly involving aortic grafts. Most patients are immunocompetent and with late presentation. Successful outcome can only be achieved with long-term antifungal treatment and extra-anatomic replacement of the graft.

show abstract

“…Fungal infections of vascular grafts are even less frequent [2,[4][5][6][7][8][9][10][11][12][13][14][15][16]. In fact, invasive aspergillosis is more frequent among immunocompromised individuals receiving chemo-or corticotherapy and AIDS patients.…”

Section: Discussionmentioning

confidence: 99%

True mycotic false aneurysm due to aspergillus: Three lesions in two cases and literature review

et al. 2011

View full text Add to dashboard Cite

Mycotic infection of the blood vessels is extremely rare and is associated more frequently with the presence of a vascular prosthetic graft. In this article we report three cases of pseudoaneurysm formation due to Aspergillus infection in two kidney transplant recipients receiving kidneys from the same donor. Some considerations and a brief review of the literature and discussion of the existent reported cases are presented.

show abstract

False Aneurysm Infected by Aspergillus Fumigatus: An Unusual Complication of Aortofemoral Bypass Graft

Cited by 19 publications

References 18 publications

Post-operative aspergillosis

Post-operative aspergillosis

A rare case of peripheral vascular graft infection by Aspergillus fumigatus and review of the literature

True mycotic false aneurysm due to aspergillus: Three lesions in two cases and literature review

Contact Info

Product

Resources

About