| Surgical Treatment
of Arterial Aneurysm due to Salmonella Infection |
(Department of Cardiovascular Surgery, National
Cardiovascular Center, Osaka, Japan)
| Yuji Hanafusa |
Motomi Ando |
Yutaka Okita |
| Tetsuro Morota |
Kenji Minatoya |
Ritsu Matsukawa |
| Soichiro Kitamura |
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Infectious arterial aneurysm in
a rare condition with a high mortality because of rapid aneurysmal
growth and subsequent rupture. We encountered 3 cases of arterial
aneurysm due to Salmonella infection. We evaluated there 3 cases
and an additional 14 cases reported in the Japanese literature.
Eleven patients with Salmonella infection had bacteremia. The
incidence of bacteremia in patients with Salmonella infection
was more frequent than that in patients with other bacillary
infections. The location of the aneurysm was the abdominal aorta
in 14. Rupture or impending rupture of the aneurysm was identified
in 12. Fifteen patients underwent operation including in situ
reconstruction in 9 and extra-anatomic bypass in 6. Among 15
patients who underwent an operation, 14 survived. These data
suggest that accurate preoperative diagnosis, long-term antibiotic
therapy, and immediate surgical intervention are essential for
effective treatment of arterial aneurysm due to Salmonella infection.
Jpn. J. Cardiovasc. Surg. 29: 161-167 (2000) |
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