1/8. endarteritis and false aneurysm complicating aortic coarctation.We report a tricky case of endocarditis because of the localization, aortic coarctation, and the pathogenic bacteria actinobacillus actinomycetemcomitans. Furthermore, we underline the leading role of transesophageal echocardiography in the diagnosis of aortic endarteritis. First, aortitis was treated with antibiotics and, second, successfully operated on.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/8. femoral artery infection associated with a percutaneous arterial suture device.This is a case report of a femoral artery infection with fatal outcome after using a percutaneous suture mediated closure device: A 77-year old patient underwent diagnostic angiography of his thoracic and abdominal aortic aneurysm, the puncture site was closed with the Perclose system. He developed a staphylococcal femoral artery infection with groin abscess, requiring surgical intervention with debridement and removal of the Perclose suture. After stent graft exclusion of the thoracic and abdominal aortic aneurysm a staphylococcal sepsis occurred and the patient died of aneurysm rupture months later despite long term antibiotic therapy. Since the use of the Perclose device carries an increased risk of femoral artery infection with septic endarteritis and bacteremia, it should not be used in routine diagnostic angiography.- - - - - - - - - - ranking = 0.75keywords = aneurysm (Clic here for more details about this article) |
3/8. aortic coarctation endarteritis and aneurysm: diagnosis by transoesophageal echocardiography.A 17-year-old girl developed infective endarteritis, caused by staphylococcus aureus, at the site of a previously undiagnosed aortic coarctation. Transoesophageal echocardiography revealed a clinically unsuspected false aneurysm. Foreknowledge of the presence of the aneurysm proved to be life saving when an acute deterioration required emergency surgery.- - - - - - - - - - ranking = 1.5keywords = aneurysm (Clic here for more details about this article) |
4/8. Septic endarteritis of the femoral artery following angioplasty.A case of septic endarteritis that occurred in the femoral artery following percutaneous transluminal coronary angioplasty (PTCA) is reported, and nine previously reported cases of this complication are reviewed. In each case staphylococcus aureus was identified as the pathogen. For all cases in which a complete clinical description was available, endarteritis occurred following repeated PTCA or repuncture PTCA (i.e., a second catheterization at the original site of insertion for diagnostic purposes). The characteristic manifestations of endarteritis in this setting included bacteremia (all 10 cases), the formation of a pseudoaneurysm (six), distal emboli (five), and regional septic arthritis or osteomyelitis (five of six cases that included the information needed to determine the presence of these conditions). In each case, treatment included 4-6 weeks of iv antibiotics and surgery, most frequently resection of the pseudoaneurysm and vascular bypass. We recommend surveillance for the signs of endarteritis, especially after repeated catheterization, and use of the contralateral site when repeated catheterization is indicated. When the ipsilateral site is used, the administration of prophylactic antibiotics should be considered.- - - - - - - - - - ranking = 3.5111670676543keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
5/8. Salmonella endarteritis, about two cases and their management.Mycotic aneurysms due to Salmonella are a classical but uncommon complication of salmonella infections. We report two cases of such aneurysms, the first one having developed two successive aneurysms of the iliac arteries due to salmonella typhimurium. The literature on Salmonella endarteritis is briefly reviewed. The importance of an aggressive surgical approach of the mycotic aneurysm, with removal of all infected material and extra-anatomic bypass through contaminated tissue is emphasized. The role of antibiotic treatment is also discussed.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
6/8. Septic endarteritis following percutaneous transluminal coronary angioplasty.We report a case of bacterial arteritis of the external iliac artery complicated by mycotic aneurysm following coronary angioplasty. To our knowledge, this is the first reported instance of arterial wall infection caused by coronary angioplasty at a distance from the insertion site equal to the length of the sheath.- - - - - - - - - - ranking = 0.25keywords = aneurysm (Clic here for more details about this article) |
7/8. Persistent iliac endarteritis with pseudoaneurysm formation following balloon-expandable stent placement.We present a patient who developed endarteritis and pseudoaneurysm formation complicating iliac artery stent placement. blood cultures grew staphylococcus aureus. Three weeks after antibiotic treatment, the aortic bifurcation and the stents were removed, together with the left common iliac artery pseudoaneurysm. As with any other implantable device, septic complications are dreaded and should be recognized and treated early. Consideration may be given to the use of appropriate prophylactic antibiotics.- - - - - - - - - - ranking = 10.533501202963keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/8. endarteritis and mycotic aortic aneurysm caused by an oral strain of actinobacillus actinomycetemcomitans.actinobacillus actinomycetemcomitans was isolated from blood cultures of a 33-year-old febrile patient with a previously undiagnosed coarctation of the aorta. Subgingival samples from diseased periodontal pockets revealed the presence of A. actinomycetemcomitans. An infected (mycotic) aortic aneurysm and endarteritis were diagnosed and surgically treated. The identity of blood and oral clinical isolates of A. actinomycetemcomitans was supported by genetic analysis, including fingerprinting by restriction fragment length polymorphism, ribotyping, and random amplified polymorphic dna; biotyping; and antibiogram typing. These data strongly suggest that the periodontal pockets were the primary source of A. actinomycetemcomitans endarteritis in this case.- - - - - - - - - - ranking = 1.25keywords = aneurysm (Clic here for more details about this article) |