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Rupture of the Perivisceral Aorta: Atherosclerotic versus Mycotic Aneurysm

Rupture of the Perivisceral Aorta: Atherosclerotic versus Mycotic Aneurysm Papers Presented at the Fifteenth Annual Meeting of the Southern California Vascular Surgical Society Rupture of the Perivisceral Aorta: Atherosclerotic versus Mycotic Aneurysm William J. Quin ˜ ones-Baldrich, MD, Shriram M. Nene, MD, Hugh A. Gelabert, MD, and Wesley S. Moore, MD, Los Angeles, California Twelve patients with rupture of the perivisceral abdominal aorta were admitted to the UCLA Medical Center between 1984 and 1996. Six patients had atherosclerotic thoracoabdominal aneurysms (TAA) which ruptured in the visceral segment of the aorta. The remaining 6 patients proved to have a ruptured mycotic aneurysm (MA). Clinical presentation was different in the two groups. Whereas all 6 patients with TAA had <24 hr history of abdominal, chest, or back pain, patients with MA had these symptoms for 2-5 weeks (mean 3.4 weeks). History of sepsis was present in 4/6 MA and in 0/6 TAA patients. No difference in risk factors for atherosclerosis were seen between these two groups. Clinical outcomes were also different. Operation consisted of in situ vascular grafting in all patients. Operative mortality for TAA was 33% (2/6), whereas all patients with MA survived repair with no operative mortality. Two patients had cardiac arrest prior to surgery. One of these http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Rupture of the Perivisceral Aorta: Atherosclerotic versus Mycotic Aneurysm

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References (20)

Publisher
Springer Journals
Copyright
Copyright © 1997 by Annals of Vascular Surgery Inc.
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169900057
pmid
9236987
Publisher site
See Article on Publisher Site

Abstract

Papers Presented at the Fifteenth Annual Meeting of the Southern California Vascular Surgical Society Rupture of the Perivisceral Aorta: Atherosclerotic versus Mycotic Aneurysm William J. Quin ˜ ones-Baldrich, MD, Shriram M. Nene, MD, Hugh A. Gelabert, MD, and Wesley S. Moore, MD, Los Angeles, California Twelve patients with rupture of the perivisceral abdominal aorta were admitted to the UCLA Medical Center between 1984 and 1996. Six patients had atherosclerotic thoracoabdominal aneurysms (TAA) which ruptured in the visceral segment of the aorta. The remaining 6 patients proved to have a ruptured mycotic aneurysm (MA). Clinical presentation was different in the two groups. Whereas all 6 patients with TAA had <24 hr history of abdominal, chest, or back pain, patients with MA had these symptoms for 2-5 weeks (mean 3.4 weeks). History of sepsis was present in 4/6 MA and in 0/6 TAA patients. No difference in risk factors for atherosclerosis were seen between these two groups. Clinical outcomes were also different. Operation consisted of in situ vascular grafting in all patients. Operative mortality for TAA was 33% (2/6), whereas all patients with MA survived repair with no operative mortality. Two patients had cardiac arrest prior to surgery. One of these

Journal

Annals of Vascular SurgerySpringer Journals

Published: Feb 20, 2014

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