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- Title
THE MANAGEMENT OF ABDOMINAL AORTIC SALMONELLOSIS.
- Authors
Todd, George J.
- Abstract
Infection of the abdominal aorta by Salmonella organisms is a rare but commonly fatal condition. Successful management depends on rapid diagnosis, aggressive surgical intervention, extra-anatomic vascular reconstruction and antibiotic therapy. A review of the surgical literature reveals 25 cases of Salmonella aortitis with only five survivors. Pre-operative death from aortic rupture is common and post-operative death due to graft infection is to be anticipated if a prosthesis is placed in the normal retroperitoneal location. A successfully managed case is presented with a three year follow-up. Therapy consisted of aneurysm resection, axillobifemoral bypass and a six week course of antibiotics. The status of the oversewn aortic stump has been followed at yearly intervals by means of the intravenous digital subtraction angiogram. No aneurysmal dilatation of the aortic stump has occurred during the three year follow-up and the extra-anatomic reconstruction has remained patent without the need for thrombectomy. Important considerations in the operative and post-operative management are discussed.
- Subjects
ABDOMINAL aorta; ANTIBIOTICS; AORTIC aneurysms; ANGIOGRAPHY
- Publication
Vascular Surgery, 1984, Vol 18, Issue 3, p189
- ISSN
0042-2835
- Publication type
Article
- DOI
10.1177/153857448401800311