Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.004415
Jornal Vascular Brasileiro
Case Report

Aneurisma de aorta abdominal infectado por Salmonella species

Infected abdominal aneurysm due to Salmonella species

Marina Helena Fernandes de Aguiar Alioti; Romeu Alioti; Renato Campos Soares de Faria; Otacílio de Camargo Júnior; Martin Andreas Geiger

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Resumo

Resumo Os aneurismas de aorta abdominal infecciosos (AAAIs) são raros e apresentam uma alta mortalidade devido à septicemia e ao risco de ruptura. A opção terapêutica consagrada consiste na correção aberta com ressecção do aneurisma, debridamento e reconstrução com veia autóloga. Mais recentemente, alguns grupos vêm relatando séries de casos nas quais se realizou tratamento endovascular. Em ambas as opções, a antibioticoterapia adjuvante é imperativa. Relatamos um caso ilustrativo em que o tratamento de escolha foi a cirurgia aberta com reconstrução utilizando-se veia autóloga.

Palavras-chave

aneurisma infectado, aneurisma aórtico, aneurisma micótico

Abstract

Abstract Infected abdominal aortic aneurysms are rare and have high mortality due to sepsis and the possibility of rupture. The treatment of choice is open repair with aneurysm resection, debridement and reconstruction with an autologous vein graft. More recently, case series have been described in which the endovascular approach was the first option. With both approaches adjuvant antibiotic therapy is imperative. We report an illustrative case in which the treatment was open surgery reconstruction using an autologous vein graft.

Keywords

infected aneurysm, aortic aneurysm, micotic aneurysm

References

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