Amy R Deipolyi1, Alexander Bailin2, Ali Khademhosseini3, Rahmi Oklu4. 1. Division of Vascular and Interventional Radiology, Department of Radiology, New York University Medical Center, New York, NY. 2. Massachusetts General Hospital, Harvard Medical School, Vascular and Interventional Radiology, Boston, MA. 3. Biomaterials Innovation Research Center, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA; Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA; Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA. 4. Biomaterials Innovation Research Center, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA; Mayo Clinic, Division of Vascular and Interventional Radiology, Scottsdale, AZ. Electronic address: oklu.rahmi@mayo.edu.
Abstract
PURPOSE: To review the presentation, imaging, clinical management, and outcomes in patients with mycotic aneurysm (MA). METHODS: Fifty-five cases in 49 patients (33 men, 16 women, average age: 66.2years) were identified. RESULTS: Of 49 patients, only 20% presented with the classic clinical triad of fever, elevated white count, and pain. Computed tomography was the most utilized imaging modality; focal vascular outpouching was the most frequent imaging finding (76%). There was 17% mortality rate within 6months of diagnosis despite intervention. CONCLUSIONS: Clinical presentation and blood cultures can be nonspecific, highlighting the importance of imaging diagnosis of MA to expedite treatment.
PURPOSE: To review the presentation, imaging, clinical management, and outcomes in patients with mycotic aneurysm (MA). METHODS: Fifty-five cases in 49 patients (33 men, 16 women, average age: 66.2years) were identified. RESULTS: Of 49 patients, only 20% presented with the classic clinical triad of fever, elevated white count, and pain. Computed tomography was the most utilized imaging modality; focal vascular outpouching was the most frequent imaging finding (76%). There was 17% mortality rate within 6months of diagnosis despite intervention. CONCLUSIONS: Clinical presentation and blood cultures can be nonspecific, highlighting the importance of imaging diagnosis of MA to expedite treatment.