Endovascular repair of Salmonella-infected abdominal aortic aneurysms: A word of caution

• Published in: Journal of vascular surgery 2006-07, Vol.44 (1), p.198-200
• Main Authors: Forbes, Thomas L., Harding, Gregory E.J.
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Aneurysm, Infected - diagnostic imaging; Aneurysm, Infected - microbiology; Aneurysm, Infected - surgery; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - microbiology; Aortic Aneurysm, Abdominal - surgery; Biological and medical sciences; Blood and lymphatic vessels; Blood Vessel Prosthesis - adverse effects; Blood Vessel Prosthesis - microbiology; Blood Vessel Prosthesis Implantation - adverse effects; Cardiology. Vascular system; Diseases of the aorta; Female; Humans; Male; Medical sciences; Prosthesis-Related Infections - surgery; Salmonella Infections - diagnostic imaging; Salmonella Infections - surgery; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tomography, X-Ray Computed; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2006.03.002

Over the last several years, treatment modalities have changed for infected aortic aneurysms. Surgical treatment has undergone a paradigm shift from débridement and extra-anatomic bypass to direct reconstruction to, most recently, endovascular repair. Although many reports of endovascular repair of such aneurysms are favorable, the following two cases highlight some of the concerns with endografts in an infected field. Specifically, we urge caution when considering endovascular repair of Salmonella-infected arterial pathologies.