This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (121)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Charles B. Anderson, MD; Harvey R. Butcher, Jr., MD; Walter F. Ballinger, MD

AMA Arch Surg. 1974;109(5):712-717.

Abstract
The characteristics of mycotic aneurysms have changed since Osler first used the term in 1885. Sixteen mycotic aneurysms encountered between 1970 and 1973 were critically reviewed with regard to location, etiologic factors, microbial organisms, and methods of treatment. Peripheral aneurysms were seven times more frequent than aortic mycotic aneurysms. Pseudoaneurysms from trauma or vascular operations with concomitant infection were the most frequent types of mycotic aneurysms. Staphylococcus and Enterobacter were the most common organisms cultured. The anaerobes, Bacteroides and Peptostreptococcus, as well as Candida were also isolated. Ligation of the artery was distinctly superior to suture or graft repair in controlling infection and preventing rebleeding. Appreciation of the changing patterns of mycotic aneurysms will facilitate prompt diagnosis and proper treatment.

Author Affiliations
From the Department of Surgery, Washington University School of Medicine, St. Louis.

Footnotes
Accepted for publication July 16, 1974.

Read before the 22nd scientific meeting of the International Cardiovascular Society, Chicago, June 22, 1974.

Reprint requests to Department of Surgery, 4960 Audubon Ave, St. Louis, MO 63110 (Dr. Anderson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Clinical pathologic conference
Spittell and Beckman
Vasc Med 2003;8:53-57.
 

Cerebral Mycotic Aneurysm in a Child With Down's Syndrome: A Unique Association
Diab et al.
J Child Neurol 2001;16:868-870.
ABSTRACT  

Mycotic Aortic Aneurysm Infected by Clostridium septicum A Case History
Hurley and Howe
ANGIOLOGY 1991;42:585-589.
ABSTRACT  

Management of Infected Aortoiliac Aneurysms
Reddy et al.
Arch Surg 1991;126:873-879.
ABSTRACT  

Mycotic Suprarenal Abdominal Aortic Aneurysm
Khan and Goldstone
PERSPECT VASC SURG ENDOVASC THER 1990;3:113-124.
 

Transplanted Infections: Donor-to-Host Transmission with the Allograft
Gottesdiener
ANN INTERN MED 1989;110:1001-1016.
ABSTRACT  

Primary Mycotic Abdominal Aortic Aneurysm Due to Candida A Case Report
Joffee et al.
VASC ENDOVASCULAR SURG 1989;23:70-72.
ABSTRACT  

Mycotic Aneurysms of The Upper Extremity, Report of Two Cases
HO et al.
J Hand Surg Eur Vol 1986;11:271-273.
ABSTRACT  

Mycotic Aneurysm: New Concepts in Therapy
Johnson et al.
Arch Surg 1983;118:577-582.
ABSTRACT  

Mycotic Aortic Aneurysms: A Reappraisal
Johansen and Devin
Arch Surg 1983;118:583-588.
ABSTRACT  

Ruptured Aortic Aneurysm Complicating Coarctation of the Aorta: Two Autopsied Cases with Unusual Rupture
Kaku et al.
VASC ENDOVASCULAR SURG 1983;17:122-132.
ABSTRACT  

Lateral Subcutaneous Graft for an Infected False Aneurysm of the Femoral Artery
Barker and McCollum
VASC ENDOVASCULAR SURG 1981;15:349-351.
 

Recognition and Management of Ruptured Infected Aneurysm of the Abdominal Aorta
Bridges et al.
VASC ENDOVASCULAR SURG 1981;15:360-365.
ABSTRACT  

Ruptured Mycotic Aneurysm: A Complication of Parenteral Drug Abuse
Yellin
Arch Surg 1977;112:981-986.
ABSTRACT  

Mycotic Tuberculous Aneurysm of the Thoracic Aorta
Felson et al.
JAMA 1977;237:1104-1108.
ABSTRACT  

Mycotic Aneurysms in Transplant Patients
Kyriakides et al.
Arch Surg 1976;111:472-476.
ABSTRACT  

Experience With Infected Aneurysms of the Abdominal Aorta
Jarrett et al.
Arch Surg 1975;110:1281-1286.
ABSTRACT  

Pseudoaneurysm Following Axillo-Femoral By-Pass: Unusual Presentation
Graziano and Mulet
VASC ENDOVASCULAR SURG 1975;9:195-199.