On the Diagnosis of Mycotic Aortic Aneurysms

Clinical Medicine Insights. Cardiology
Karl Sörelius, Pietro G di Summa

Abstract

There is striking paucity in consensus on the terminology, definition, and diagnostic criteria of mycotic aortic aneurysms. This literature study aims to elucidate this scientific omission, discuss its consequences, and present a proposition for reporting items on this disease. A systematic literature review on PubMed and Medline usingmycoticandinfected aortic aneurysmsbetween 1850 and 2017 was performed. Articles were assessed according to a protocol regarding terminology, definition, and diagnostic criteria. Case series with less than 5 patients were excluded. A total of 49 articles were included. The most prevalent term was mycotic aortic aneurysm but there was no widely accepted definition. Most modern publications used a diagnostic workup based on a combination on clinical presentation, laboratory results, imaging findings, and intraoperative findings. How these protean variables should be balanced was unclear. A proposition of reporting items was framed and consisted of definition of disease used, basis of diagnostic workup, exclusion criteria, patient characteristics, laboratory and imaging findings, aneurysm anatomy, details on treatment, pre/postoperative antibiotic treatment, and details on follow-up. This article emp...Continue Reading

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Citations

Dec 21, 2018·BMJ Case Reports·Sureshkumar Nagiah, Rassam Badbess
Feb 2, 2020·BMC Infectious Diseases·Jakub NagrodzkiAndrew J Carmichael
Jan 20, 2021·Vascular·Daniel HannsbergerKarl Sörelius
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May 15, 2021·The American Journal of Medicine·Matthew J LaceyAnkur Kalra
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Aug 31, 2021·Current Opinion in Cardiology·Ivika Heinola, Karl Sörelius
Apr 8, 2021·Reviews on Recent Clinical Trials·Nicola IelapiRaffaele Serra
Oct 20, 2021·PloS One·Lars HusmannBarbara Hasse

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