Ruptured mycotic infrapopliteal aneurysm. J Vasc Surg 2013 Jul;58(1):205-7
Date
01/29/2013Pubmed ID
23351649DOI
10.1016/j.jvs.2012.10.091Scopus ID
2-s2.0-84879411863 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
Mycotic aneurysms involving infrapopliteal arteries are rare. Ruptured infrapopliteal aneurysms are particularly uncommon and represent a surgical or endovascular emergency. We describe a case of 51-year-old male who presented with a 12-cm ruptured aneurysm of the tibioperoneal trunk 5 years after an episode of bacterial endocarditis. Our surgical approach included using extremity exsanguination and tourniquet to control hemorrhage during aneurysm ligation, followed by successful arterial reconstruction. Review of the English literature suggests that this is the largest ruptured infrapopliteal aneurysm reported.
Author List
Shakhnovich I, Seabrook GR, Brown KR, Lewis BD, Rossi PJAuthors
Kellie R. Brown MD Professor in the Surgery department at Medical College of WisconsinBrian D. Lewis MD Professor in the Surgery department at Medical College of Wisconsin
Peter J. Rossi MD Chief, Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Aneurysm, InfectedAneurysm, Ruptured
Anti-Bacterial Agents
Endocarditis, Bacterial
Humans
Ligation
Male
Middle Aged
Popliteal Artery
Saphenous Vein
Tomography, X-Ray Computed
Tourniquets
Treatment Outcome
Vascular Surgical Procedures
