Surgical treatment of infected aortic aneurysm

Gregory L. Moneta, Lloyd M. Taylor, Richard A. Yeager, James M. Edwards, Alexander D. Nicoloff, Donald B. McConnell, John M. Porter

    Research output: Contribution to journalArticle

    129 Citations (Scopus)

    Abstract

    BACKGROUND: We report results of infected aortic aneurysms treated by a single group over 20 years. METHODS: Retrospective review. RESULTS: Seventeen patients were treated, 10 with infrarenal and 7 suprarenal infections. All had abdominal/back pain, 88% were febrile, 71% had leukocytosis, and 24% were hemodynamically unstable. The most common responsible organism was Staphylococcus aureus (29%) followed by Salmonella organisms (24%). All suprarenal infections were gram-positive organisms. Infrarenal infections were treated with preliminary axillofemoral bypass followed by aortic resection. Suprarenal infections were treated with either in situ prosthetic graff or patch repairs. Operative survival was 90% for infrarenal and 57% for suprarenal infections. Operative deaths occurred in the setting of overwhelming sepsis and/or severe preoperative hemodynamic instability. There was no limb loss, renal failure, or intestinal ischemia. Late deaths occurred in 4 patients at 1.3 to 6.3 years postoperatively and were unrelated to their aortic repairs. Nine patients remain alive with a median follow-up of 2 years. There have been no late aortic or graff infections. CONCLUSIONS: In the absence of hemodynamic instability and uncontrolled sepsis, infected aortic aneurysms can be successfully repaired with durable results.

    Original languageEnglish (US)
    Pages (from-to)396-399
    Number of pages4
    JournalAmerican Journal of Surgery
    Volume175
    Issue number5
    DOIs
    StatePublished - 1998

    Fingerprint

    Infected Aneurysm
    Aortic Aneurysm
    Infection
    Sepsis
    Therapeutics
    Hemodynamics
    Leukocytosis
    Back Pain
    Salmonella
    Abdominal Pain
    Renal Insufficiency
    Staphylococcus aureus
    Fever
    Ischemia
    Extremities
    Survival

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Moneta, G. L., Taylor, L. M., Yeager, R. A., Edwards, J. M., Nicoloff, A. D., McConnell, D. B., & Porter, J. M. (1998). Surgical treatment of infected aortic aneurysm. American Journal of Surgery, 175(5), 396-399. https://doi.org/10.1016/S0002-9610(98)00056-7

    Surgical treatment of infected aortic aneurysm. / Moneta, Gregory L.; Taylor, Lloyd M.; Yeager, Richard A.; Edwards, James M.; Nicoloff, Alexander D.; McConnell, Donald B.; Porter, John M.

    In: American Journal of Surgery, Vol. 175, No. 5, 1998, p. 396-399.

    Research output: Contribution to journalArticle

    Moneta, GL, Taylor, LM, Yeager, RA, Edwards, JM, Nicoloff, AD, McConnell, DB & Porter, JM 1998, 'Surgical treatment of infected aortic aneurysm', American Journal of Surgery, vol. 175, no. 5, pp. 396-399. https://doi.org/10.1016/S0002-9610(98)00056-7
    Moneta, Gregory L. ; Taylor, Lloyd M. ; Yeager, Richard A. ; Edwards, James M. ; Nicoloff, Alexander D. ; McConnell, Donald B. ; Porter, John M. / Surgical treatment of infected aortic aneurysm. In: American Journal of Surgery. 1998 ; Vol. 175, No. 5. pp. 396-399.
    @article{821013fecfc446c190dd58b19bb3f1c7,
    title = "Surgical treatment of infected aortic aneurysm",
    abstract = "BACKGROUND: We report results of infected aortic aneurysms treated by a single group over 20 years. METHODS: Retrospective review. RESULTS: Seventeen patients were treated, 10 with infrarenal and 7 suprarenal infections. All had abdominal/back pain, 88{\%} were febrile, 71{\%} had leukocytosis, and 24{\%} were hemodynamically unstable. The most common responsible organism was Staphylococcus aureus (29{\%}) followed by Salmonella organisms (24{\%}). All suprarenal infections were gram-positive organisms. Infrarenal infections were treated with preliminary axillofemoral bypass followed by aortic resection. Suprarenal infections were treated with either in situ prosthetic graff or patch repairs. Operative survival was 90{\%} for infrarenal and 57{\%} for suprarenal infections. Operative deaths occurred in the setting of overwhelming sepsis and/or severe preoperative hemodynamic instability. There was no limb loss, renal failure, or intestinal ischemia. Late deaths occurred in 4 patients at 1.3 to 6.3 years postoperatively and were unrelated to their aortic repairs. Nine patients remain alive with a median follow-up of 2 years. There have been no late aortic or graff infections. CONCLUSIONS: In the absence of hemodynamic instability and uncontrolled sepsis, infected aortic aneurysms can be successfully repaired with durable results.",
    author = "Moneta, {Gregory L.} and Taylor, {Lloyd M.} and Yeager, {Richard A.} and Edwards, {James M.} and Nicoloff, {Alexander D.} and McConnell, {Donald B.} and Porter, {John M.}",
    year = "1998",
    doi = "10.1016/S0002-9610(98)00056-7",
    language = "English (US)",
    volume = "175",
    pages = "396--399",
    journal = "American Journal of Surgery",
    issn = "0002-9610",
    publisher = "Elsevier Inc.",
    number = "5",

    }

    TY - JOUR

    T1 - Surgical treatment of infected aortic aneurysm

    AU - Moneta, Gregory L.

    AU - Taylor, Lloyd M.

    AU - Yeager, Richard A.

    AU - Edwards, James M.

    AU - Nicoloff, Alexander D.

    AU - McConnell, Donald B.

    AU - Porter, John M.

    PY - 1998

    Y1 - 1998

    N2 - BACKGROUND: We report results of infected aortic aneurysms treated by a single group over 20 years. METHODS: Retrospective review. RESULTS: Seventeen patients were treated, 10 with infrarenal and 7 suprarenal infections. All had abdominal/back pain, 88% were febrile, 71% had leukocytosis, and 24% were hemodynamically unstable. The most common responsible organism was Staphylococcus aureus (29%) followed by Salmonella organisms (24%). All suprarenal infections were gram-positive organisms. Infrarenal infections were treated with preliminary axillofemoral bypass followed by aortic resection. Suprarenal infections were treated with either in situ prosthetic graff or patch repairs. Operative survival was 90% for infrarenal and 57% for suprarenal infections. Operative deaths occurred in the setting of overwhelming sepsis and/or severe preoperative hemodynamic instability. There was no limb loss, renal failure, or intestinal ischemia. Late deaths occurred in 4 patients at 1.3 to 6.3 years postoperatively and were unrelated to their aortic repairs. Nine patients remain alive with a median follow-up of 2 years. There have been no late aortic or graff infections. CONCLUSIONS: In the absence of hemodynamic instability and uncontrolled sepsis, infected aortic aneurysms can be successfully repaired with durable results.

    AB - BACKGROUND: We report results of infected aortic aneurysms treated by a single group over 20 years. METHODS: Retrospective review. RESULTS: Seventeen patients were treated, 10 with infrarenal and 7 suprarenal infections. All had abdominal/back pain, 88% were febrile, 71% had leukocytosis, and 24% were hemodynamically unstable. The most common responsible organism was Staphylococcus aureus (29%) followed by Salmonella organisms (24%). All suprarenal infections were gram-positive organisms. Infrarenal infections were treated with preliminary axillofemoral bypass followed by aortic resection. Suprarenal infections were treated with either in situ prosthetic graff or patch repairs. Operative survival was 90% for infrarenal and 57% for suprarenal infections. Operative deaths occurred in the setting of overwhelming sepsis and/or severe preoperative hemodynamic instability. There was no limb loss, renal failure, or intestinal ischemia. Late deaths occurred in 4 patients at 1.3 to 6.3 years postoperatively and were unrelated to their aortic repairs. Nine patients remain alive with a median follow-up of 2 years. There have been no late aortic or graff infections. CONCLUSIONS: In the absence of hemodynamic instability and uncontrolled sepsis, infected aortic aneurysms can be successfully repaired with durable results.

    UR - http://www.scopus.com/inward/record.url?scp=0031946954&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=0031946954&partnerID=8YFLogxK

    U2 - 10.1016/S0002-9610(98)00056-7

    DO - 10.1016/S0002-9610(98)00056-7

    M3 - Article

    C2 - 9600286

    AN - SCOPUS:0031946954

    VL - 175

    SP - 396

    EP - 399

    JO - American Journal of Surgery

    JF - American Journal of Surgery

    SN - 0002-9610

    IS - 5

    ER -