Sanjeeva P. Kalva, MD, FSIR, FCIRSE; Hriday Shah, MD
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Infectious aneurysm (more appropriate term)
Definitions
Aneurysm arising from infection of arterial wall, usually bacterial
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Echocardiographic Findings
Angiographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Haidar GM et al: "In situ" endografting in the treatment of arterial and graft infections. J Vasc Surg. 65(6):1824-9, 2017
Sörelius K et al: Endovascular treatment of mycotic aortic aneurysms: a paradigm shift. J Cardiovasc Surg (Torino). 58(6):870-4, 2017
Deipolyi AR et al: Imaging findings, diagnosis, and clinical outcomes in patients with mycotic aneurysms: single center experience. Clin Imaging. 40(3):512-6, 2016
Murphy DJ et al: Cross-sectional imaging of aortic infections. Insights Imaging. 7(6):801-18, 2016
Uchida N et al: In situ replacement for mycotic aneurysms on the thoracic and abdominal aorta using rifampicin-bonded grafting and omental pedicle grafting. Ann Thorac Surg. 93(2):438-42, 2012
Iida H et al: Bacteremia causes mycotic aneurysm of the aortic arch in 110 days. Ann Thorac Surg. 83(5):1874-6, 2007
Taylor CF et al: Treatment options for primary infected aorta. Ann Vasc Surg. 21(2):225-7, 2007
Froeschl M et al: Ruptured mycotic pseudoaneurysm of the thoracic aorta. Cardiovasc Pathol. 15(2):116-8, 2006
Kerzmann A et al: Infected abdominal aortic aneurysm treated by in situ replacement with cryopreserved arterial homograft. Acta Chir Belg. 106(4):447-9, 2006
Lee KH et al: Stent-graft treatment of infected aortic and arterial aneurysms. J Endovasc Ther. 13(3):338-45, 2006
Palanichamy N et al: Mycotic pseudo-aneurysm of the ascending thoracic aorta after cardiac transplantation. J Heart Lung Transplant. 25(6):730-3, 2006
Ting AC et al: Endovascular stent graft repair for infected thoracic aortic pseudoaneurysms--a durable option? J Vasc Surg. 44(4):701-5, 2006
Gonzalez-Fajardo JA et al: Endovascular repair in the presence of aortic infection. Ann Vasc Surg. 19(1):94-8, 2005
Ting AC et al: Surgical treatment of infected aneurysms and pseudoaneurysms of the thoracic and abdominal aorta. Am J Surg. 189(2):150-4, 2005
Malouf JF et al: Mycotic aneurysms of the thoracic aorta: a diagnostic challenge. Am J Med. 115(6):489-96, 2003
Cina CS et al: Ruptured mycotic thoracoabdominal aortic aneurysms: a report of three cases and a systematic review. J Vasc Surg. 33(4):861-7, 2001
Locati P et al: Salmonella mycotic aneurysms: traditional and "alternative" surgical repair with arterial homograft. Minerva Cardioangiol. 47(1-2):31-7, 1999
Long R et al: Tuberculous mycotic aneurysm of the aorta: review of published medical and surgical experience. Chest. 115(2):522-31, 1999
Fichelle JM et al: Infected infrarenal aortic aneurysms: when is in situ reconstruction safe? J Vasc Surg. 17(4):635-45, 1993
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Infectious aneurysm (more appropriate term)
Definitions
Aneurysm arising from infection of arterial wall, usually bacterial
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Echocardiographic Findings
Angiographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Haidar GM et al: "In situ" endografting in the treatment of arterial and graft infections. J Vasc Surg. 65(6):1824-9, 2017
Sörelius K et al: Endovascular treatment of mycotic aortic aneurysms: a paradigm shift. J Cardiovasc Surg (Torino). 58(6):870-4, 2017
Deipolyi AR et al: Imaging findings, diagnosis, and clinical outcomes in patients with mycotic aneurysms: single center experience. Clin Imaging. 40(3):512-6, 2016
Murphy DJ et al: Cross-sectional imaging of aortic infections. Insights Imaging. 7(6):801-18, 2016
Uchida N et al: In situ replacement for mycotic aneurysms on the thoracic and abdominal aorta using rifampicin-bonded grafting and omental pedicle grafting. Ann Thorac Surg. 93(2):438-42, 2012
Iida H et al: Bacteremia causes mycotic aneurysm of the aortic arch in 110 days. Ann Thorac Surg. 83(5):1874-6, 2007
Taylor CF et al: Treatment options for primary infected aorta. Ann Vasc Surg. 21(2):225-7, 2007
Froeschl M et al: Ruptured mycotic pseudoaneurysm of the thoracic aorta. Cardiovasc Pathol. 15(2):116-8, 2006
Kerzmann A et al: Infected abdominal aortic aneurysm treated by in situ replacement with cryopreserved arterial homograft. Acta Chir Belg. 106(4):447-9, 2006
Lee KH et al: Stent-graft treatment of infected aortic and arterial aneurysms. J Endovasc Ther. 13(3):338-45, 2006
Palanichamy N et al: Mycotic pseudo-aneurysm of the ascending thoracic aorta after cardiac transplantation. J Heart Lung Transplant. 25(6):730-3, 2006
Ting AC et al: Endovascular stent graft repair for infected thoracic aortic pseudoaneurysms--a durable option? J Vasc Surg. 44(4):701-5, 2006
Gonzalez-Fajardo JA et al: Endovascular repair in the presence of aortic infection. Ann Vasc Surg. 19(1):94-8, 2005
Ting AC et al: Surgical treatment of infected aneurysms and pseudoaneurysms of the thoracic and abdominal aorta. Am J Surg. 189(2):150-4, 2005
Malouf JF et al: Mycotic aneurysms of the thoracic aorta: a diagnostic challenge. Am J Med. 115(6):489-96, 2003
Cina CS et al: Ruptured mycotic thoracoabdominal aortic aneurysms: a report of three cases and a systematic review. J Vasc Surg. 33(4):861-7, 2001
Locati P et al: Salmonella mycotic aneurysms: traditional and "alternative" surgical repair with arterial homograft. Minerva Cardioangiol. 47(1-2):31-7, 1999
Long R et al: Tuberculous mycotic aneurysm of the aorta: review of published medical and surgical experience. Chest. 115(2):522-31, 1999
Fichelle JM et al: Infected infrarenal aortic aneurysms: when is in situ reconstruction safe? J Vasc Surg. 17(4):635-45, 1993
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