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Imaging findings, diagnosis, and clinical outcomes in patients with mycotic aneurysms: single center experience

  • Amy R. Deipolyi
    Affiliations
    Division of Vascular and Interventional Radiology, Department of Radiology, New York University Medical Center, New York, NY
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  • Alexander Bailin
    Affiliations
    Massachusetts General Hospital, Harvard Medical School, Vascular and Interventional Radiology, Boston, MA
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  • Ali Khademhosseini
    Affiliations
    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
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  • Rahmi Oklu
    Correspondence
    Corresponding author. Mayo Clinic, Division of Vascular and Interventional Radiology, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA. Tel.: +1-480-342-1650.
    Affiliations
    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
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Published:December 08, 2015DOI:https://doi.org/10.1016/j.clinimag.2015.12.002

      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: 66.2 years) 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 6 months of diagnosis despite intervention.

      Conclusions

      Clinical presentation and blood cultures can be nonspecific, highlighting the importance of imaging diagnosis of MA to expedite treatment.

      Keywords

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