@article{10.11648/j.ccr.20190301.11,
  author = {Momar Sokhna Diop and Ndeye Fatou Sow and Pape Ousmane Ba and Magaye Gaye and Papa Amath Diagne and Pape Adama Dieng and Souleymane Diatta and Pape Salmane Ba and Moussa Seck Diop and Mareme Soda Mbaye and Amadou Gabriel Ciss and Assane Ndiaye and Mouhamadou Ndiaye},
  title = {Mycotic Aneurysms: Clinical Aspects and Results of Surgery (About 12 Cases)},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ccr.20190301.11},
  url = {https://doi.org/10.11648/j.ccr.20190301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190301.11},
  abstract = {Introduction: Mycotic aneurysms have an incidence of 1 to 2%. Before the era of antibiotics, syphilis was most commonly observed. However, with the increase in arterial interventional procedures and intravenous drug use, Gram-positive organisms such as Staphylococcus and Streptococcus are observed. Objectives: To analyze the clinical aspects and to evaluate the results of the surgery. Materials and Methods: This was a descriptive retrospective study over a 12-years period from December 2005 to February 2018. Results: The total number of our series was 12 cases. The average age at the time of surgery was 37 years old [17-83 years]. There was no predominance of sex. There was a notion of smoking in 3 cases / 12. There was no concept of addiction. Four out of 12 cases had a known concept of heart disease with mitral insufficiency, aortic insufficiency, and complete atrioventricular block. A patient presented in this antecedents a notion of syphilis treated and declared cured. The clinical symptomatology was made of fever in 4 cases out of 12, pain in 11 cases out of 12 with 3 cases of intermittent claudication. The clinical examination had shown a swelling with vascular characters in 11 cases out of 12. Two out of 12 patients had signs of acute limb ischemia. The arterial echodoppler was performed in 11cases out of 12 which had made the diagnosis. The angioscan was performed in 8 cases and showed 4 cases of sacciform aneurysms. All patients benefited from open surgery. The exploration showed 9 cases of false aneurysms with signs of local infection in 5 cases. Flattening with excision of the infected tissues was performed in all cases. The restoration of vascular continuity was immediate in all cases by end-to-end direct anastomosis in 8 cases, 2 cases of extra-anatomical bypass using a dacron tube and two cases of anatomical bypass using the saphenous vein in situ. Early complications were dominated by 2 cases of acute limb ischemia, 2 cases of superficial surgical site infection, 1 case of deep surgical site infection, 1 case of false aneurysm of a common femoral artery and 1 case of hematoma. Follow-up was performed in all patients with an average delay of 14 months [1-60]. There were 1 case of operative mortality and 2 cases of late mortality.},
 year = {2019}
}

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TY  - JOUR
T1  - Mycotic Aneurysms: Clinical Aspects and Results of Surgery (About 12 Cases)
AU  - Momar Sokhna Diop
AU  - Ndeye Fatou Sow
AU  - Pape Ousmane Ba
AU  - Magaye Gaye
AU  - Papa Amath Diagne
AU  - Pape Adama Dieng
AU  - Souleymane Diatta
AU  - Pape Salmane Ba
AU  - Moussa Seck Diop
AU  - Mareme Soda Mbaye
AU  - Amadou Gabriel Ciss
AU  - Assane Ndiaye
AU  - Mouhamadou Ndiaye
Y1  - 2019/01/24
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190301.11
DO  - 10.11648/j.ccr.20190301.11
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190301.11
AB  - Introduction: Mycotic aneurysms have an incidence of 1 to 2%. Before the era of antibiotics, syphilis was most commonly observed. However, with the increase in arterial interventional procedures and intravenous drug use, Gram-positive organisms such as Staphylococcus and Streptococcus are observed. Objectives: To analyze the clinical aspects and to evaluate the results of the surgery. Materials and Methods: This was a descriptive retrospective study over a 12-years period from December 2005 to February 2018. Results: The total number of our series was 12 cases. The average age at the time of surgery was 37 years old [17-83 years]. There was no predominance of sex. There was a notion of smoking in 3 cases / 12. There was no concept of addiction. Four out of 12 cases had a known concept of heart disease with mitral insufficiency, aortic insufficiency, and complete atrioventricular block. A patient presented in this antecedents a notion of syphilis treated and declared cured. The clinical symptomatology was made of fever in 4 cases out of 12, pain in 11 cases out of 12 with 3 cases of intermittent claudication. The clinical examination had shown a swelling with vascular characters in 11 cases out of 12. Two out of 12 patients had signs of acute limb ischemia. The arterial echodoppler was performed in 11cases out of 12 which had made the diagnosis. The angioscan was performed in 8 cases and showed 4 cases of sacciform aneurysms. All patients benefited from open surgery. The exploration showed 9 cases of false aneurysms with signs of local infection in 5 cases. Flattening with excision of the infected tissues was performed in all cases. The restoration of vascular continuity was immediate in all cases by end-to-end direct anastomosis in 8 cases, 2 cases of extra-anatomical bypass using a dacron tube and two cases of anatomical bypass using the saphenous vein in situ. Early complications were dominated by 2 cases of acute limb ischemia, 2 cases of superficial surgical site infection, 1 case of deep surgical site infection, 1 case of false aneurysm of a common femoral artery and 1 case of hematoma. Follow-up was performed in all patients with an average delay of 14 months [1-60]. There were 1 case of operative mortality and 2 cases of late mortality.
VL  - 3
IS  - 1
ER  - 

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