Treatment of infected abdominal aneurysms by extraanatomic bypass, aneyrysm excision, and drainage

Lloyd M. Taylor, David M. Deifz, Donald B. McConnell, John M. Porter

Research output: Contribution to journalArticle

78 Scopus citations

Abstract

Five patients with infected abdominal aortoiliac aneurysms were treated. The diagnosis was made preoperatively based upon fever, leukocytosis, positive blood culture findings, and presence of an aneurysm in all five patients. Two patients had salmonella species, two had staphylococcus species, and one had bacteroides species cultured from the blood and aneurysm contents. All patients were treated with appropriate antibiotics and a single operative procedure consisting of preliminary extraanatomic bypass followed by complete aneurysm excision and posterior drainage of the retroperitoneum. There were no operative deaths and no instances of aortic stump disruption, persistent retroperitoneal sepsis, or graft thrombosis. All patients were alive and well on last follow-up 15 months to 5 years postoperatively.

Original languageEnglish (US)
Pages (from-to)655-658
Number of pages4
JournalThe American Journal of Surgery
Volume155
Issue number5
DOIs
StatePublished - May 1988

ASJC Scopus subject areas

  • Surgery

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