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Mycotic aneurysms

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https://www.readbyqxmd.com/read/29777669/repair-of-thoracic-and-thoracoabdominal-mycotic-aneurysms-and-infected-aortic-grafts-using-allograft
#1
Joel S Corvera, David Blitzer, Hannah Copeland, Daniel Murphy, Philip J Hess, Saila T Pillai, John W Fehrenbacher
BACKGROUND: Mycotic aneurysm of the thoracic or thoracoabdominal aorta and infection of thoracic or thoracoabdominal aortic grafts are challenging problems with high mortality. In-situ reconstruction with cryopreserved allograft(CPA) avoids placement of prosthetic material in an infected field and avoids suppressive antibiotics or autologous tissue coverage. METHODS: Fifty consecutive patients with infection of a thoracic or thoracoabdominal aortic graft or mycotic aneurysm underwent resection and replacement with CPA from 2006 to 2016...
May 16, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29755935/aspergillus-endocarditis-of-the-mitral-valve-with-ventricular-myocardial-invasion-cerebral-vasculitis-and-intracranial-mycotic-aneurysm-formation-in-a-patient-with-hemophagocytic-lymphohistiocytosis
#2
Bibin Varghese, Kevin Ting, Juan Lopez-Mattei, Cezar Iliescu, Joseph Kim, Peter Kim
Aspergillus endocarditis is a rare infection and reported mainly in immunocompromised hosts. We report a case of mitral valve aspergillus endocarditis with ventricular myocardial invasion, cerebral vasculitis and intracranial fungal aneurysm formation in a patient with hemophagocytic lymphohistiocytosis (HLH). This case illustrates the importance of prompt investigation and treatment of masses seen on an echocardiogram for rare infections such as Aspergillus endocarditis in immunocompromised patients.
September 2018: Medical Mycology Case Reports
https://www.readbyqxmd.com/read/29747632/mycotic-aneurysm-caused-by-edwardsiella-tarda-successfully-treated-with-stenting-and-suppressive-antibiotic-therapy-a-case-report-and-systematic-review
#3
Kei Furui Ebisawa, Sho Nishimura, Shungo Yamamoto, Goh Ohji, Kentaro Iwata
BACKGROUND: Mycotic aneurysm is an uncommon disease which could be fatal without appropriate treatment. Although standard therapy for mycotic aneurysms consists of resection of the infected aorta and in situ graft replacement, some treat with endovascular stent-grafting because patients may not tolerate graft replacement due to underlying diseases. There are 6 more reported cases of mycotic aneurysm caused by Edwardsiella tarda. With the exception of our case, all underwent resection and debridement of the infected aorta or vascular prosthesis...
May 10, 2018: Annals of Clinical Microbiology and Antimicrobials
https://www.readbyqxmd.com/read/29740727/the-first-case-of-bacillus-calmette-gu%C3%A3-rin-induced-small-vessel-central-nervous-system-vasculitis
#4
REVIEW
Marc-Etienne Parent, Maxime Richer, Patrick Liang
To present an unrecognized vascular complication of bacillus Calmette-Guérin (BCG) therapy administered for superficial bladder carcinoma. We also review the potential mimickers for primary angiitis of the central nervous system (PACNS) as well as complications of intravesical BCG therapy. An 89-year-old Caucasian man with a history of relapsing high-grade bladder carcinoma treated with intravesical BCG presented with recurring episodes of right upper limb paresthesia with clumsiness and dysarthria. Magnetic resonance imaging of the head revealed multiple predominantly left-sided frontotemporal micronodular peri-vascular lesions...
May 9, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29731787/mycotic-aneurysm-a-lesser-known-complication-of-coarctation-repair-in-a-child-managed-by-endovascular-aneurysm-repair
#5
M Tomar, R Parakh, A Bhan
We report a 12-year-old child diagnosed with mycotic aneurysm at the site of coarctation of aorta (CoA) repair. Surgical intervention, though very high risk, is the mainstay of management. In selected cases endovascular stenting is being reported in adults. Here we report the use of an endovascular stent in a child.
October 2017: Images in Paediatric Cardiology
https://www.readbyqxmd.com/read/29701786/intracranial-mycotic-aneurysm-is-associated-with-cerebral-bleeding-post-valve-surgery-for-infective-endocarditis
#6
Yuta Kume, Tomoyuki Fujita, Satsuki Fukushima, Yusuke Shimahara, Yorihiko Matsumoto, Kizuku Yamashita, Naonori Kawamoto, Junjiro Kobayashi
OBJECTIVES: The presence of cerebral haemorrhage (CH) preoperatively is a risk factor of in-hospital cerebrovascular complications post-valve surgery for acute infective endocarditis. However, factors related to cerebrovascular complications in the long term are poorly understood. We reviewed a series of these patients to investigate risk factors of in-hospital and long-term outcomes. METHODS: An institutional series of 148 patients who underwent valve surgery for active infective endocarditis between 2000 and 2016 were enrolled...
April 26, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29701347/giant-ruptured-common-iliac-artery-infected-aneurysm
#7
Pedro Pinto Sousa, Sérgio Teixeira, João Gonçalves, Carlos Veiga, Pedro Sá Pinto, Rui Almeida
INTRODUCTION: Saccular mycotic aorto-iliac aneurysms are extremely rare and when presented with ruptured, they are an important life- threatening condition. METHODS: We present a 52 years old male transferred from another Hospital and admitted to the emergency room with a ruptured iliac artery aneurysm. RESULTS: He complained of persistent fever and abdominal discomfort that swiftly established as hemorrhagic shock. Imagiological study with angioCT revealed a ruptured left common iliac artery saccular aneurysm with 90mm...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29685511/primary-and-secondary-arterial-fistulas-during-chronic-q-fever
#8
Steffi Karhof, Sonja E van Roeden, Jan J Oosterheert, Chantal P Bleeker-Rovers, Nicole H M Renders, Gert J de Borst, Linda M Kampschreur, Andy I M Hoepelman, Olivier H J Koning, Peter C Wever
OBJECTIVE: After primary infection with Coxiella burnetii, patients may develop acute Q fever, which is a relatively mild disease. A small proportion of patients (1%-5%) develop chronic Q fever, which is accompanied by high mortality and can be manifested as infected arterial or aortic aneurysms or infected vascular prostheses. The disease can be complicated by arterial fistulas, which are often fatal if they are left untreated. We aimed to assess the cumulative incidence of arterial fistulas and mortality in patients with proven chronic Q fever...
April 20, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29675080/mycotic-cerebral-aneurysm-in-a-premature-infant
#9
John T Meadows, Don Hayes, Luis Rafael Moscote-Salazar, Willem Guillermo Calderon-Miranda
Mycotic cerebral aneurysms in neonates are extremely rare and can be difficult to diagnose without a high index of suspicion. We describe a 33-week gestation preterm neonate who developed a mycotic cerebral aneurysm leading to death before repair could be performed. We believe this to be the first literature reported case of a mycotic cerebral aneurysm in a preterm infant. This case revives the ongoing question of when to perform a lumbar puncture in a potentially septic or meningitic infant, while also casting light on maintaining a high index of suspicion for rare intracranial diagnoses that require cranial imaging...
October 2017: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29674397/massive-haemoptysis-secondary-to-mycotic-pulmonary-artery-aneurysm-in-subacute-invasive-aspergillosis
#10
Shahbaz Piracha, Asad Mahmood, Noman Qayyum, Muhammad Badar Ganaie
A 68-year-old man, presented with 3 week history of infective symptoms and mild haemoptysis. Past medical history included severe emphysema and a chronic right upper lobe (RUL) cavity. He was discharged from follow-up a year ago in view of clinical and radiological stability; previous bronchoscopic examinations yielded no specific diagnosis. CT scan on admission confirmed complex cavitary consolidation of RUL. He developed massive haemoptysis requiring intubation and ventilation. CT pulmonary angiogram (CTPA) revealed 16 mm RUL pulmonary artery (PA) aneurysm which was successfully embolized...
April 19, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29661816/mycotic-aneurysm-formation-after-bacillus-calmette-gu%C3%A3-rin-instillation-for-recurrent-bladder-cancer
#11
Sagar Rohailla, Abhijat Kitchlu, Mark Wheatcroft, Fahad Razak
No abstract text is available yet for this article.
April 16, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29620063/development-of-a-cerebral-mycotic-aneurysm-within-5-days
#12
Edgar A Samaniego, Santiago Ortega, Leal Stander, Enrique C Leira
No abstract text is available yet for this article.
October 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29582064/aortic-arch-mycotic-aneurysm
#13
Thomas P Marnejon, Gulshan Man Singh Dangol
No abstract text is available yet for this article.
April 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29577003/emergency-repair-of-a-perforated-mycotic-aneurysm-with-a-self-made-pericardial-tube-graft
#14
Nawras Diab, Clarence Pingpoh, Matthias Siepe, Friedhelm Beyersdorf, Ahmed Kharabish, Martin Czerny
A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debridement, orthotopic repair was performed with a self-made pericardial tube graft from the brachiocephalic bifurcation to the thoracic outlet. The paravertebral and posterior mediastinal abscess was drained. The postoperative course was uneventful...
January 2018: Thoracic and Cardiovascular Surgeon Reports
https://www.readbyqxmd.com/read/29562157/ulnar-artery-mycotic-aneurysm
#15
Bashaar K Alibrahim, George Wharmby
No abstract text is available yet for this article.
March 22, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29559882/mycotic-pulmonary-artery-aneurysm-mimicking-a-rasmussen-aneurysm
#16
Stephanie C Cajigas-Loyola, Ricky L Miller, Bradley Spieler, Gregory Carbonella
Background: Mycotic aneurysms arising from the pulmonary arteries are rare; only a few cases have been reported. Staphylococcus and Streptococcus species are the most common causative pathogens. Mycotic aneurysms are seldom clinically apparent unless as a sequela of adverse procedural complications. They carry high morbidity and mortality if not treated expeditiously. Case Report: We present the case of a 37-year-old male with bacteremia and bronchopneumonia associated with a pulmonary artery mycotic aneurysm...
2018: Ochsner Journal
https://www.readbyqxmd.com/read/29538196/surgical-interventions-of-isolated-active-mitral-valve-endocarditis-predisposing-factors-and-impact-of-neurological-insults-on-final-outcome
#17
Hsiu-An Lee, Chun-Yu Lin, Yung-Chang Chen, Shao-Wei Chen, Yu-Yun Nan, Kuo-Sheng Liu, Meng-Yu Wu, Yu-Sheng Chang, Jaw-Ji Chu, Pyng-Jing Lin, Feng-Chun Tsai
The feasibility and durability of mitral valve (MV) repair in active infective endocarditis (IE) has been reported, but proper management of perioperative neurological complications and surgical timing remains uncertain and may crucially affect the outcome.In this single-center retrospective observational study, patients who underwent isolated MV surgery for active native IE in our institution between August 2005 and August 2015 were reviewed and analyzed. Patients who were operated on for healed IE or who required combined procedures were excluded from this study...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29528023/intracranial-fungal-infection-after-solid-organ-transplant
#18
Fikret Şahintürk, Hamiyet Demirkaya, Ümit Akın Dere, Erkin Sönmez, Nur Altınörs, Gökhan Moray, Mehmet Haberal
Neurologic complications after solid-organ transplant reveal a great spectrum of pathologies. Intracranial hemorrhages, cerebral ischemic lesions, infarctions, lymphoproliferative disorders, and infections, including aspergillosis, have been observed after liver transplant. Fungi constitute nearly 5% of all central nervous system infections, mainly occurring in immunocompromised patients. The most common causative agent is Aspergillus species. It presents either as maxillary sinusitis or pulmonary infection...
March 2018: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/29526047/mycotic-innominate-artery-aneurysm-repair-using-a-bovine-pericardial-bifurcation-prosthesis
#19
Andrea H T Hoff, Ferdi Akca, Philippe W M Cuypers, Joost F Ter Woorst
We report the use of a bovine pericardial bifurcation prosthesis to repair a mycotic innominate artery aneurysm.
March 2018: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/29511975/-18-f-fdg-pet-ct-imaging-to-diagnose-septic-emboli-and-mycotic-aneurysms-in-patients-with-endocarditis-and-cardiac-device-infections
#20
REVIEW
Nidaa Mikail, Khadija Benali, Besma Mahida, Jonathan Vigne, Fabien Hyafil, François Rouzet, Dominique Le Guludec
PURPOSE OF REVIEW: This review analyzes recent studies evaluating the diagnostic value of 18 F-FDG-PET/CT for the detection of peripheral emboli and secondary infectious foci in patients with infective endocarditis and cardiac device infections. RECENT FINDINGS: Detection of extracardiac septic localizations in patients with infective endocarditis and cardiac device infections is crucial, as it may impact the diagnosis, prognosis, and therapeutic management. Recent literature substantiated the clinical usefulness of 18 F-FDG-PET/CT in this setting...
March 6, 2018: Current Cardiology Reports
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