Radiology, Vol 168, 343-346, Copyright © 1988 by Radiological Society of North America

ARTICLES

Mycotic aneurysms of the aorta: radiologic features

RL Gonda Jr, OH Gutierrez and MV Azodo
Department of Radiology, University of Rochester School of Medicine and Dentistry, NY 14642.

Four patients with a total of six mycotic aneurysms of the aorta were examined with computed tomography (CT) after intravenous contrast material enhancement, and with abdominal or thoracic aortography. In the three patients with mycotic aneurysms involving the abdominal aorta, CT scans showed a vascular paraaortic structure without calcified walls adjacent to a nondilated aorta, and a large non- contrast-enhanced retroperitoneal mass representing inflammatory tissue and blood from a contained aortic rupture. A CT scan of one aneurysm of the thoracic aorta demonstrated an enhanced saccular mass originating from the aorta without paraspinal component. In three of four patients, the CT findings were corroborated by aortographic evidence of an eccentric aneurysmal sac in an atypical location for atheromatous disease. In four patients with clinical manifestations suggesting mycotic aneurysm of the aorta, a combination of CT and angiographic imaging provided accurate diagnostic information for planning adequate and early surgical treatment.

This article has been cited by other articles:

				C. T. Stephens, L. L. Pounds, and L. A. Killewich Rupture of a Nonaneurysmal Aorta Secondary to Staphylococcus Aortitis: A Case Report and Review of the Literature Angiology, August 1, 2006; 57(4): 506 - 512. [Abstract] [PDF]

				V. Cicconi, S. Mannino, G. Caminiti, L. Cuoco, A. Gasbarrini, F. Vecchio, F. Snider, N. S. Gentiloni, and G. Gasbarrini Salmonella Aortic Aneurysm: Suggestions for Diagnosis and Therapy Based on Personal Experience: A Case Report Angiology, November 1, 2004; 55(6): 701 - 705. [Abstract] [PDF]

				V. Cicconi, S. Mannino, G. Caminiti, L. Cuoco, A. Gasbarrini, F. Vecchio, F. Snider, N. S. Gentiloni, and G. Gasbarrini Salmonella Aortic Aneurysm: Suggestions for Diagnosis and Therapy Based on Personal Experience: A Case Report Angiology, November 1, 2004; 55(6): 701 - 705. [Abstract] [PDF]

				C.-H. Chiu, L.-H. Su, and C. Chu Salmonella enterica Serotype Choleraesuis: Epidemiology, Pathogenesis, Clinical Disease, and Treatment Clin. Microbiol. Rev., April 1, 2004; 17(2): 311 - 322. [Abstract] [Full Text] [PDF]

				T. A. Macedo, A. W. Stanson, G. S. Oderich, C. M. Johnson, J. M. Panneton, and M. L. Tie Infected Aortic Aneurysms: Imaging Findings Radiology, April 1, 2004; 231(1): 250 - 257. [Abstract] [Full Text] [PDF]

				C. Akomea-Agyin, J. F. Reidy, and P. B. Deverall TRANSCATHETER EMBOLIZATION OF MYCOTIC ILIAC ANEURYSM AFTER AORTIC VALVE REPLACEMENT BECAUSE OF BACTERIAL ENDOCARDITIS J. Thorac. Cardiovasc. Surg., December 1, 1996; 112(6): 1671 - 1672. [Full Text]

				H. Van der Wall, A. Palmer, M. Thomas, and J. Chu Bone and Leukocyte Scintigraphy of a Complicated Case of Ruptured Mycotic Aneurysm of the Aorta: A Case History Angiology, April 1, 1994; 45(4): 315 - 319. [Abstract] [PDF]

				A. Khan and J. Goldstone Mycotic Suprarenal Abdominal Aortic Aneurysm Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1990; 3(2): 113 - 124. [PDF]