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Abstract
Infected or mycotic aortic aneurysms (MAAs) are a rare type of aneurysms. Due to the high risk of rupture, MAAs are life-threatening conditions. Early diagnosis and treatment are necessary, yet MAAs are usually found coincidentally. We report 10 patients with MAAs in whom macroscopically, similar coined-sized lesions of the inner aortic wall were seen in all cases. When a coin-sized lesion in the inner aortic wall is seen during open surgical repair of an aortic aneurysm, the surgeon should consider an infectious cause. Microbiological tissue samples should be collected, and additional targeted antibiotic therapy should be started.
Author contributions
Conceptualization: WM. Data collection: HN, TS and PL. Writing – original draft: HN and TS. Writing – reviewing: HN, TS, PL, IK, GG and WM. Visualization: HN, TS and PL. All authors have read, reviewed and agreed to the published version of the manuscript.
Ethical approval
The authors confirm that written consent for submission and publication of the cases has been obtained from the patients or their next of kin. The ethical board of the Radboudumc approved anonymous publication of these cases of deceased patients where next of kin could not be reached by any means.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Data availability statement
Not applicable.