Salmonella Contrastenhanced CT scan and preoperative arteriogram demonstrating

Λοίμωξη από Salmonella σε προϋπάρχον ανεύρυσμα Contrast-enhanced CT scan and pre-operative arteriogram demonstrating saccular

Εγχειρητική Τακτική: Μυκωτικά ανευρύσματα της υπερνεφρικής αορτής A. Bacteroides fragilis infected aneurysm of supra-renal

Retrospective case series 11 patients – endovascular repair of 13 MAAs Aortic arch (n=1)

Μυκωτικό ανεύρυσμα: Βραχιοκεφαλικό Στέλεχος Polymicrobial post-traumatic false aneurysm of the right subclavian artery (3

Retrospective case series 27 patients – TEVAR for infected aneurysm 26 high-risk for surgery

Retrospective case series 673 AAA – 19 (2. 8%) infected 16 TAAs , 7

Type I Endoleak (n=1) , Type II Endoleak (n=2) Stroke (n=1) , CSF drainage/

48 cases review 30 -day survival rate = 89. 6% + 4. 4% Survival

7 patients (5 AAAs , 2 TAAs) AUI, bifurcated, cuff no major complications @

Θέσεις μυκωτικών ανευρυσμάτων στους χρήστες ουσιών Only 51. 8% (28/54) required excision of the

Μυκωτικά ανευρύσματα μηριαίας: Απολίνωση και αφαίρεση της κοινής μηριαίας Arterial reconstruction was not required

Μετατραυματικό μυκωτικό ψευδές ανεύρυσμα μηριαίας: Πότε να επαναιματώσουμε ? Following total femoral bifurcation excision,

Klebsiella pneumoniae: pneumoniae Μυκωτικό ανεύρυσμα άνω μεσεντερίου αρτηρίας Ligation and debridement was employed as

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Λοίμωξη από Salmonella σε προϋπάρχον ανεύρυσμα Contrast-enhanced CT scan and pre-operative arteriogram demonstrating saccular aneurysm with calcification that became infected

Εγχειρητική Τακτική: Μυκωτικά ανευρύσματα της υπερνεφρικής αορτής A. Bacteroides fragilis infected aneurysm of supra-renal aorta B. Complex extra anatomic reconstruction with kidney auto-transplant C. Follow-up thoraco-bifemoral arterial bypass reconstruction

Retrospective case series 11 patients – endovascular repair of 13 MAAs Aortic arch (n=1) , descending TAA (n=4), suprarenal AAA (n=3), infrarenal AAA (n=5) Mean follow-up 27 months Sorelius JVS 2009

Sorelius JVS 2009

Μυκωτικό ανεύρυσμα: Βραχιοκεφαλικό Στέλεχος Polymicrobial post-traumatic false aneurysm of the right subclavian artery (3 D CT yellow arrow) resulting from repeated attempted subclavian vein narcotic injections. To initially control hemorrhage a stent graft (red arrow) was employed

Retrospective case series 27 patients – TEVAR for infected aneurysm 26 high-risk for surgery Patel JVS 2010

Patel JVS 2010

Clough EJVES 2009

Retrospective case series 673 AAA – 19 (2. 8%) infected 16 TAAs , 7 AAAs 6 RAA (32%) 15 (79%) positive blood cultures Staphylococcus aureus (+) Clough EJVES 2009

Clough EJVES 2009

Type I Endoleak (n=1) , Type II Endoleak (n=2) Stroke (n=1) , CSF drainage/ paraplegia (n=1) 30 -day mortality = 11% Survival @ 20 months = 73% All 8 deaths aneurysm related! Clough EJVES 2009

48 cases review 30 -day survival rate = 89. 6% + 4. 4% Survival @ 2 years = 82. 2 % + 5. 8% Fever or Rupture= persistent infection Chung Dann JVS

Chung Dann JVS 2007

Chung Dann JVS

7 patients (5 AAAs , 2 TAAs) AUI, bifurcated, cuff no major complications @ 22. 7 m Zhou World J Surg 2009

Zhou World J Surg 2009

Θέσεις μυκωτικών ανευρυσμάτων στους χρήστες ουσιών Only 51. 8% (28/54) required excision of the entire femoral artery bifurcation. 8 (14. 5% overall) of these 28 (28. 5%) were reconstructed with no graft complications

Μυκωτικά ανευρύσματα μηριαίας: Απολίνωση και αφαίρεση της κοινής μηριαίας Arterial reconstruction was not required for limb salvage in this patient owing to the adequacy of arterial collateral circulation

Μετατραυματικό μυκωτικό ψευδές ανεύρυσμα μηριαίας: Πότε να επαναιματώσουμε ? Following total femoral bifurcation excision, immediate autogenous reconstruction with sartorius muscle flap coverage was selected in this patient because the sepsis was well controlled at this initial procedure

Klebsiella pneumoniae: pneumoniae Μυκωτικό ανεύρυσμα άνω μεσεντερίου αρτηρίας Ligation and debridement was employed as directed by the preoperative angiographic pattern and the direct findings encountered at operation indicating no need for arterial reconstruction.