Aim: Retrospective review of aorto-iliac infections in a single vascular surgery center. Methods: From a retrospective review of their experience in the last 20 years, the authors analyze a series of 12 cases of aorto-iliac infection. Prognostic factors, surgical options and results are discussed and compared with the literature. Results: Infections of the aorta eventually associated with aneurysmal degeneration are uncommon (less than 3% of all aortic aneurysms) but still a life-threatening condition with high hospital mortality (25%). No statistical evaluation can be drawn from small series; however, early results are apparently influenced by emergency surgery and comorbidities affecting the immune response; in-situ reconstruction is associated with better long-term results (patency 100%, recurrent infection 0%). Conclusions: In our experience, in situ aortic grafting reconstruction associated with proper antibiotic therapy obtained satisfactory results in terms of mortality and long-term survival. Endovascular treatment can be adopted in critical patients with prohibitive surgical risk.
Ferrante, A. M. R., Cina, A., Tsiopoulos, V., Snider, F., Infections of the aorta and iliac arteries. Report of 20 years experience in a single centre, <<ANNALI ITALIANI DI CHIRURGIA>>, 2011; 82 (6): 429-435 [http://hdl.handle.net/10807/6851]
Infections of the aorta and iliac arteries. Report of 20 years experience in a single centre
Ferrante, Angela Maria Rosaria;Cina, Alessandro;Tsiopoulos, Vasileios;Snider, Francesco
2011
Abstract
Aim: Retrospective review of aorto-iliac infections in a single vascular surgery center. Methods: From a retrospective review of their experience in the last 20 years, the authors analyze a series of 12 cases of aorto-iliac infection. Prognostic factors, surgical options and results are discussed and compared with the literature. Results: Infections of the aorta eventually associated with aneurysmal degeneration are uncommon (less than 3% of all aortic aneurysms) but still a life-threatening condition with high hospital mortality (25%). No statistical evaluation can be drawn from small series; however, early results are apparently influenced by emergency surgery and comorbidities affecting the immune response; in-situ reconstruction is associated with better long-term results (patency 100%, recurrent infection 0%). Conclusions: In our experience, in situ aortic grafting reconstruction associated with proper antibiotic therapy obtained satisfactory results in terms of mortality and long-term survival. Endovascular treatment can be adopted in critical patients with prohibitive surgical risk.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.