Anévrisme primitivement infecté de l’aorte sous-rénale. Pontage extra anatomique ou in situ ?

Abstract

There is no agreement in the literature as regards the best treatment for primary infected aneurysms. There is agreement concerning in situ treatment, inlay graft for supra-renal aneurysms. For infra-renal localizations no consensus has been reached. Most authors prefer biological grafts over prosthetic materials for infected grafts or primary infected aneurysms. We report here a case of primary infected aneurysm treated in two stages. An initial axillo-bifemoral bypass was followed one month later by aneurysmectomy and wide debridement of infected tissue. Results were good at two years.