Infections of the aorta and iliac arteries Report of 20 years experience in a single centre

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COD: 06_2011_429-436 Categorie: ,

Angela Ferrante, Alessandro Cina, Vasileios D. Tsiopoulos, Francesco Snider

Ann. Ital. Chir., 2011; 82: 429-435

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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.

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