Repair of a saccular aortic aneurysm with superficial femoral-popliteal vein in the presence of a pancreatic abscess

Rosen, Scott F.; Ledesma, Dwayne F.; Lopez, Jorge A.; Jackson, Mark R.

doi:10.1067/mva.2000.108006

Cited by 11 publications

(4 citation statements)

References 9 publications

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“… 1 It is further indicated that concurrent elective cholecystectomy, nephrectomy and oophorectomy can be carried during the repair of abdominal aortic aneurysms and also do not causes am increase in the risk of graft rejection. 2 …”

Section: Introductionmentioning

confidence: 99%

Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report

Wahbi

Tamimi

2015

International Journal of Surgery Case Reports

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IntroductionIt is a controversial and difficult problem for a surgeon to manage the simultaneously occurring diseases divirticular abscess and abdominal aortic aneurysm. Mostly surgeons are not willing to execute a non vascular procedures during the repair of an aneurysm because there can be a risk of graft infection.Presentation of caseIn this case study, we have explained about the presentation of a huge infrarenal abdominal aortic aneurysm (AAA) that is found to be associated with a divirticular abscess and both needed an intervention.DiscussionIt has been suggested by various evidences that a one-stage elective surgical treatment is safer and cost effective for the treatment of patients with an abdominal aortic aneurysm associated with other problems like gastro-intestinal malignancies. However, the high risk of graft infection made the two staged procedure a popular option.ConclusionThe major dilemma is in the management of patients with large aneurysm which require an urgent repair and presented with concomitant pathologies that carry a high risk of sepsis. In this case report, we described an unusual presentation of a large aneurysm with a concomitant divirticular abscess where both needed an urgent intervention.

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Section: Introductionmentioning

confidence: 99%

Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report

Wahbi

Tamimi

2015

International Journal of Surgery Case Reports

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“…SFPV has also been used successfully to repair a saccular aortic aneurysm in the presence of a pancreatic abscess. 8 SFPV reconstruction with appropriate broad-spectrum antibiotics was successful here despite gross contamination with pus containing pancreatic enzymes and several pathogens, including MRSA. Prophylactic laparostomy was also used here to prevent abdominal compartment syndrome 9 and to provide easy access to any recurrent abscesses.…”

Section: Discussionmentioning

confidence: 83%

Pancreatic Abscess Involving the Aortic Graft Following Repair of a Ruptured Aortic Aneurysm: Successful Replacement with Femoro-popliteal Vein

Rawat

Lock

Gibbons

2006

European Journal of Vascular and Endovascular Surgery

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Acute pancreatitis is a rare complication after aortic surgery and carries a high mortality. We report the successful management of an infected aortic graft secondary to complicated severe pancreatitis in a 77-year-old man by open drainage of the abscess and replacement of the prosthetic graft with superficial femoro-popliteal vein (SFPV). The patient remains free from infection with a patent graft 8 months later.

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“…Since then, the authors have expanded these techniques in the management of mycotic aneurysm and pseudoaneurysm. [36][37][38][39][40] The surgeons in our institution have no experience with allograft or NAIS procedures. If graft infection develops after in situ prosthetic graft reconstruction, the procedures mentioned above may be of benefit.…”

Section: Discussionmentioning

confidence: 99%

In situ versus extra-anatomic reconstruction for primary infected infrarenal abdominal aortic aneurysms

Lee

Hsieh

et al. 2011

Journal of Vascular Surgery

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In situ graft revascularization is viable in afebrile patients or patients who have good response to preoperative antibiotic therapy. Extra-anatomic bypass grafting for infected infrarenal abdominal aneurysm resection has a similar long-term survival rate and should be considered in patients who are unsuitable for in situ graft revascularization; however, the postoperative complication rate is higher. Further prospective study with large patient populations is needed to determine the selection criteria for using in situ revascularization as alternative methods for treatment of infected abdominal aneurysms.

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Repair of a saccular aortic aneurysm with superficial femoral-popliteal vein in the presence of a pancreatic abscess

Cited by 11 publications

References 9 publications

Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report

Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report

Pancreatic Abscess Involving the Aortic Graft Following Repair of a Ruptured Aortic Aneurysm: Successful Replacement with Femoro-popliteal Vein

In situ versus extra-anatomic reconstruction for primary infected infrarenal abdominal aortic aneurysms

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