Sunday 27 February 2022

Mycotic Arterial Aneurysm | Chapter 12 | Issues and Developments in Medicine and Medical Research Vol.10

 A mycotic aneurysm is a very uncommon infection of the vascular wall that is associated with a high rate of morbidity and mortality. Despite their rarity, the frequency of mycotic aneurysms has been steadily increasing during the previous two decades due to an increase in atherosclerosis and immunosuppressive risk factors. The infection could be caused by a bacterial, viral, or fungal infection. The aetiology is complicated, involving a number of risk factors. It follows a fulminant path. Because of the non-specific nature of the clinical presentation and the lack of unambiguous diagnostic criteria, it frequently provides a diagnostic and therapeutic challenge to the General and Vascular Surgeon. The importance of early identification and treatment for a successful outcome cannot be overstated. The sort of invasive interventions used, the patient's underlying comorbid disorders, the locations of affected vasculature, as well as the type of facility and skill sets available at that institution, all influence treatment. Conservative treatment is frequently linked to a high rate of mortality. The major therapeutic option is surgical surgery in combination with long-term antibacterial therapy. A successful conclusion requires a coordinated effort from team members of varied specialities. This chapter focuses on the multidisciplinary team's role in evaluating and treating these patients, as well as a current literature review, in order to determine the exact aetiology, presenting features, appropriate evaluation procedures, and current therapeutic options for a suspected mycotic arterial aneurysm.

Author(s) Details:

Shariful Islam,
Department of General Surgery, San Fernando General Hospital, Trinidad & Tobago and Department of Clinical Surgical Sciences, University of West Indies, St Augustine, UWI, Trinidad & Tobago.

Patrick Harnarayan,
Department of General Surgery, San Fernando General Hospital, Trinidad & Tobago and Department of Clinical Surgical Sciences, University of West Indies, St Augustine, UWI, Trinidad & Tobago.

Vijay Naraynsingh,
Department of Clinical Surgical Sciences, University of West Indies, St Augustine, UWI, Trinidad & Tobago.

Please see the link here: https://stm.bookpi.org/IDMMR-V10/article/view/5827

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