Cargando…
Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass
Popliteal artery aneurysms (PAAs) are the most common type of peripheral artery aneurysms. Mycotic aneurysms involving the popliteal artery are quite rare and can occur as either a primary de novo infection or a secondary infection from another site. To our knowledge, there are no previous case repo...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286778/ https://www.ncbi.nlm.nih.gov/pubmed/34285852 http://dx.doi.org/10.7759/cureus.15746 |
_version_ | 1783723781832835072 |
---|---|
author | Lajos, Paul Bangiyev, Ronald Safir, Scott Weber, Thomas |
author_facet | Lajos, Paul Bangiyev, Ronald Safir, Scott Weber, Thomas |
author_sort | Lajos, Paul |
collection | PubMed |
description | Popliteal artery aneurysms (PAAs) are the most common type of peripheral artery aneurysms. Mycotic aneurysms involving the popliteal artery are quite rare and can occur as either a primary de novo infection or a secondary infection from another site. To our knowledge, there are no previous case reports on mycotic PAA in which Staphylococcus epidermidis was the primary etiologic pathogen. We present the case of a 55-year-old male who presented with complaints of lower extremity pain and swelling, malaise, and low-grade temperatures for two weeks and was found to have a PAA. He underwent left femoral-popliteal bypass grafting with expanded polytetrafluoroethylene (ePTFE) graft and ligation of the aneurysm. On postoperative day 10, he experienced acute swelling and pain in his lower extremity with foot drop and was found to have rapid enlargement of his aneurysm sac on imaging. He was returned to the operating room emergently where he underwent aneurysmectomy via a posterior fossa approach. Cultures and gram staining of the aneurysm sac were consistent with Staphylococcus epidermidis. As noted above, this case of mycotic PAA was treated with standard vascular surgical techniques, yet it proceeded to enlarge acutely. PAAs that rapidly expand or rupture after surgical interventions may be a sign of infection. |
format | Online Article Text |
id | pubmed-8286778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-82867782021-07-19 Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass Lajos, Paul Bangiyev, Ronald Safir, Scott Weber, Thomas Cureus Internal Medicine Popliteal artery aneurysms (PAAs) are the most common type of peripheral artery aneurysms. Mycotic aneurysms involving the popliteal artery are quite rare and can occur as either a primary de novo infection or a secondary infection from another site. To our knowledge, there are no previous case reports on mycotic PAA in which Staphylococcus epidermidis was the primary etiologic pathogen. We present the case of a 55-year-old male who presented with complaints of lower extremity pain and swelling, malaise, and low-grade temperatures for two weeks and was found to have a PAA. He underwent left femoral-popliteal bypass grafting with expanded polytetrafluoroethylene (ePTFE) graft and ligation of the aneurysm. On postoperative day 10, he experienced acute swelling and pain in his lower extremity with foot drop and was found to have rapid enlargement of his aneurysm sac on imaging. He was returned to the operating room emergently where he underwent aneurysmectomy via a posterior fossa approach. Cultures and gram staining of the aneurysm sac were consistent with Staphylococcus epidermidis. As noted above, this case of mycotic PAA was treated with standard vascular surgical techniques, yet it proceeded to enlarge acutely. PAAs that rapidly expand or rupture after surgical interventions may be a sign of infection. Cureus 2021-06-18 /pmc/articles/PMC8286778/ /pubmed/34285852 http://dx.doi.org/10.7759/cureus.15746 Text en Copyright © 2021, Lajos et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Lajos, Paul Bangiyev, Ronald Safir, Scott Weber, Thomas Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass |
title | Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass |
title_full | Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass |
title_fullStr | Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass |
title_full_unstemmed | Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass |
title_short | Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass |
title_sort | mycotic popliteal artery aneurysm with rapid enlargement post-bypass |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286778/ https://www.ncbi.nlm.nih.gov/pubmed/34285852 http://dx.doi.org/10.7759/cureus.15746 |
work_keys_str_mv | AT lajospaul mycoticpoplitealarteryaneurysmwithrapidenlargementpostbypass AT bangiyevronald mycoticpoplitealarteryaneurysmwithrapidenlargementpostbypass AT safirscott mycoticpoplitealarteryaneurysmwithrapidenlargementpostbypass AT weberthomas mycoticpoplitealarteryaneurysmwithrapidenlargementpostbypass |