Diagnosis and management of a ruptured popliteal mycotic pseudoaneurysm. Vascular 2015 Aug;23(4):419-21
Date
09/24/2014Pubmed ID
25245048DOI
10.1177/1708538114551193Scopus ID
2-s2.0-84936862961 (requires institutional sign-in at Scopus site)Abstract
Infected popliteal aneurysms are a rare but high-risk pathology that may present as a surgical emergency with acute rupture and sepsis. Management of acute ischemia in the presence of systemic sepsis is challenging and requires timely diagnosis, rapid intervention, and multidisciplinary communication to ensure an optimum outcome for both life and limb in these patients. We report on a case of a ruptured mycotic popliteal artery aneurysm as a consequence of septic embolization from infective endocarditis managed by reverse saphenous vein bypass. The clinical presentation, diagnostic process, and approach to management along with a literature review on mycotic popliteal aneurysm are presented in this case report.
Author List
Dua A, Kuy S, Desai SS, Kumar N, Heller J, Lee CJMESH terms used to index this publication - Major topics in bold
Aneurysm, FalseAneurysm, Infected
Aneurysm, Ruptured
Anti-Bacterial Agents
Endocarditis, Bacterial
Humans
Male
Popliteal Artery
Saphenous Vein
Substance Abuse, Intravenous
Surgical Flaps
Tomography, X-Ray Computed
Treatment Outcome
Young Adult