Surgical management of mycotic aneurysms

Abstract

1. 1. Personal experiences with the surgical management of 5 cases of mycotic aneurysm have been presented. 2. 2. All reports of surgically treated mycotic aneurysms have been reviewed. 3. 3. The conclusions made were (a) excision with proximal and distal arterial ligation is the treatment of choice for a mycotic aneurysm located in a noncritical artery, (b) excision with either end-to-end anastomosis or lateral arterial repair is a very satisfactory means of treating a mycotic aneurysm located in a critical artery, and (c) On the basis of existing evidence a plastic prosthesis appears to be a more acceptable graft than a homograft for use in a contaminated or infected field (a successful case of Teflon graft replacement is reported). The comparative suitability of autogenous vein grafts under such conditions cannot be positively stated at this time. © 1961.