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Review of Ten-Year Experience

May M. Cliff, MD; Renate L. Soulen, MD; Albert J. Finestone, MD, FACP

Arch Intern Med. 1970;126(6):977-982.

Abstract
A review of the records of the past ten years at Temple University Hospital, Philadelphia, yielded 11 mycotic aneurysms in eight patients. Despite antibiotics, mycotic aneurysms remain an infrequent but serious threat to health and often to life. No age, sex, or anatomic part is immune. Bacterial endocarditis and atheromatous disease both increase vulnerability to these lesions. The clinical presentation of mycotic aneurysms may be very subtle, or may give dramatic evidence of hitherto unrecognized underlying disease. Angiography readily demonstrates the aneurysms which confirms the diagnosis and guides the surgeon. Extirpation of the aneurysms is necessary for cure. Placement of a prosthetic into an infected bed is unsatisfactory. Preoperative angiography is prudent in any patient with a mediastinal mass which cannot be radiologically separated from the heart.

Author Affiliations
Philadelphia

From the departments of radiology (Drs. Cliff and Soulen) and medicine (Dr. Finestone), Temple University Health Sciences Center, Philadelphia.

Footnotes
Received for publication Feb 13, 1970; accepted July 27.

Reprint requests to 3401 N Broad St, Philadelphia 19140 (Dr. Cliff).

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