Mycotic aneurysms affecting both lower legs of a patient with Candida endocarditis--endovascular therapy and open vascular surgery
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Mycotic aneurysms affecting both lower legs of a patient with Candida endocarditis--endovascular therapy and open vascular surgery. / Larena-Avellaneda, Axel; Debus, Eike S; Daum, Harald; Kindel, Martin; Gross-Fengels, Walter; Imig, Herbert.
in: ANN VASC SURG, Jahrgang 18, Nr. 1, 01.2004, S. 130-133.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Mycotic aneurysms affecting both lower legs of a patient with Candida endocarditis--endovascular therapy and open vascular surgery
AU - Larena-Avellaneda, Axel
AU - Debus, Eike S
AU - Daum, Harald
AU - Kindel, Martin
AU - Gross-Fengels, Walter
AU - Imig, Herbert
PY - 2004/1
Y1 - 2004/1
N2 - The purpose of this study was to report the endovascular and open surgery treatment of Candida-associated mycotic aneurysms in both lower limbs. A 53-year-old patient suffering from Candida endocarditis following aortic valve replacement developed mycotic aneurysms in both lower limbs. The angiography revealed a large aneurysm of the tibioperoneal trunk affecting the right leg. In the left leg, sacculation had developed in section III of the popliteal artery. The right aneurysm was obliterated by embolization with coils. On the left side, the large aneurysm of the popliteal artery was resected; vascular continuity was re-established by interposing a segment of the patient's greater saphenous vein. The postoperative course was uneventful. Mycotic aneurysm is a rare disease. A site in the crural vessels is regarded as exceptionally seldom. To our knowledge, no Candida-associated mycotic aneurysm has been described in this region before. Both endovascular treatment and open surgery proved to be successful.
AB - The purpose of this study was to report the endovascular and open surgery treatment of Candida-associated mycotic aneurysms in both lower limbs. A 53-year-old patient suffering from Candida endocarditis following aortic valve replacement developed mycotic aneurysms in both lower limbs. The angiography revealed a large aneurysm of the tibioperoneal trunk affecting the right leg. In the left leg, sacculation had developed in section III of the popliteal artery. The right aneurysm was obliterated by embolization with coils. On the left side, the large aneurysm of the popliteal artery was resected; vascular continuity was re-established by interposing a segment of the patient's greater saphenous vein. The postoperative course was uneventful. Mycotic aneurysm is a rare disease. A site in the crural vessels is regarded as exceptionally seldom. To our knowledge, no Candida-associated mycotic aneurysm has been described in this region before. Both endovascular treatment and open surgery proved to be successful.
KW - Aneurysm, Infected/diagnosis
KW - Blood Vessel Prosthesis Implantation/methods
KW - Candidiasis
KW - Embolization, Therapeutic/methods
KW - Endocarditis/microbiology
KW - Heart Valve Prosthesis Implantation/adverse effects
KW - Humans
KW - Leg/blood supply
KW - Magnetic Resonance Angiography
KW - Male
KW - Middle Aged
KW - Popliteal Artery
KW - Saphenous Vein/transplantation
KW - Tibial Arteries
U2 - 10.1007/s10016-003-0088-9
DO - 10.1007/s10016-003-0088-9
M3 - SCORING: Journal article
C2 - 15043025
VL - 18
SP - 130
EP - 133
JO - ANN VASC SURG
JF - ANN VASC SURG
SN - 0890-5096
IS - 1
ER -