{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:32:01Z","timestamp":1777674721488,"version":"3.51.4"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Universit\u00e4tsklinikum Magdeburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Das mykotische Aortenaneurysma (MAA) ist eine seltene lebensbedrohliche Erkrankung. Therapeutisch steht die offen-chirurgische Resektion (OR) mit Prothesenimplantation dem endovaskul\u00e4ren Aortenrepair (EVAR) gegen\u00fcber.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel<\/jats:title>\n                    <jats:p>Darstellung der Therapieentscheidung anhand von Fallbeispielen mit Diskussion der aktuellen Studienlage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>F\u00e4lle<\/jats:title>\n                    <jats:p>1.\u00a0Bei der notfallm\u00e4\u00dfigen Resektion eines gedeckt rupturierten Bauchaortenaneurysmas (BAA) einer 74-j\u00e4hrigen Patientin zeigt sich ein MAA. Es wird ein Xenograft implantiert. Im Verlauf kommt es durch Komorbidit\u00e4ten zum Exitus letalis. 2.\u00a0Bei einem 79-j\u00e4hrigen Patienten mit MAA als Fokus einer Salmonellensepsis erfolgt ein EVAR mit Stentgraft. Eine gute Prothesenlage und Perfusion werden festgestellt. Am 7.\u00a0postoperativen Tag wird der Patient mit Langzeitantibiotikatherapie entlassen. 3.\u00a0Ein 63-j\u00e4hriger Patient mit gedeckt rupturiertem MAA und Psoasabszess wird notfallm\u00e4\u00dfig mittels OR und Implantation einer Xenograft-Prothese versorgt. Am 12.\u00a0postoperativen Tag wird der Patient mit Langzeitantibiotikatherapie entlassen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>\n                      Die Analyse von 21\u00a0Studien (2433\u00a0Patienten) zeigte bessere Kurzzeitergebnisse bei EVAR (3-Monats-\u00dcberleben 96\u202f%\n                      <jats:italic>vs<\/jats:italic>\n                      .\u00a074\u202f% bei OR), aber h\u00f6here Reinfektionsraten (42\u202f%\n                      <jats:italic>vs<\/jats:italic>\n                      .\u00a018\u202f%). Das 5\u2011Jahres-\u00dcberleben ist \u00e4hnlich (EVAR: 57\u201379,7\u202f%; OR: 60\u202f%). H\u00e4ufigste Erreger waren Salmonellen (26,3\u202f%) sowie\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      (13,9\u202f%). Blutkulturen blieben bei 37,4\u202f% negativ. Risikofaktoren sind ein fortgeschrittenes Alter, m\u00e4nnliches Geschlecht und Komorbidit\u00e4ten. Die Antibiotikatherapie von 6\u00a0Monaten verbessert das Outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fazit<\/jats:title>\n                    <jats:p>Die Wahl der Therapie erfolgt individuell. Beide Verfahren zeigen \u00e4hnliche Langzeitergebnisse bei unterschiedlichen Fr\u00fchkomplikationen. Die langfristige Antibiotikatherapie ist essenziell f\u00fcr ein optimales Outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphic abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00104-025-02375-z","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T14:28:49Z","timestamp":1758032929000},"page":"405-414","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Das mykotische Aortenaneurysma\u00a0\u2013 repr\u00e4sentative F\u00e4lle","Mycotic aortic aneurysm\u2014Representative cases"],"prefix":"10.1007","volume":"97","author":[{"given":"E.","family":"Schwarz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Arndt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Pech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Barth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"issue":"24","key":"2375_CR1","doi-asserted-by":"publisher","first-page":"2136","DOI":"10.1161\/CIRCULATIONAHA.114.009481","volume":"130","author":"K Sorelius","year":"2014","unstructured":"Sorelius\u00a0K, Mani\u00a0K, Bjorck\u00a0M, Sedivy\u00a0P, Wahlgren\u00a0CM, Taylor\u00a0P et\u00a0al (2014) Endovascular treatment of mycotic aortic aneurysms: a\u00a0European multicenter study. Circulation 130(24):2136\u20132142","journal-title":"Circulation"},{"issue":"20","key":"2375_CR2","doi-asserted-by":"publisher","first-page":"e412","DOI":"10.1161\/CIR.0000000000000457","volume":"134","author":"WR Wilson","year":"2016","unstructured":"Wilson\u00a0WR, Bower\u00a0TC, Creager\u00a0MA, Amin-Hanjani\u00a0S, O\u2019Gara\u00a0PT, Lockhart\u00a0PB et\u00a0al (2016) Vascular Graft Infections, Mycotic Aneurysms, and Endovascular Infections: A\u00a0Scientific Statement From the American Heart Association. Circulation 134(20):e412\u2013e460","journal-title":"Circulation"},{"issue":"11","key":"2375_CR3","first-page":"e6119","volume":"11","author":"IP Barry","year":"2019","unstructured":"Barry\u00a0IP (2019) Mycotic Abdominal Aortic Aneurysm in the Endovascular Era. Cureus 11(11):e6119","journal-title":"Cureus"},{"issue":"3","key":"2375_CR4","doi-asserted-by":"publisher","first-page":"950","DOI":"10.1016\/j.jvs.2021.08.094","volume":"75","author":"X Berard","year":"2022","unstructured":"Berard\u00a0X, Battut\u00a0AS, Puges\u00a0M, Carrer\u00a0M, Stenson\u00a0K, Cazanave\u00a0C et\u00a0al (2022) Fifteen-year, single-center experience with in situ reconstruction for infected native aortic aneurysms. J\u00a0Vasc Surg 75(3):950\u2013961","journal-title":"J Vasc Surg"},{"issue":"2","key":"2375_CR5","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.jvs.2019.09.060","volume":"72","author":"Q Dang","year":"2020","unstructured":"Dang\u00a0Q, Statius van Eps\u00a0RG, Wever\u00a0JJ, Veger\u00a0HTC (2020) Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing. Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands. J\u00a0Vasc Surg 72(2):531\u2013540","journal-title":"J Vasc Surg"},{"key":"2375_CR6","doi-asserted-by":"crossref","unstructured":"Dimitrief M, Cherbanyk F, Deglise S, Pezzetta E (2016) Contained rupture of a mycotic infrarenal aortic aneurysm infected with Campylobacter fetus. BMJ Case Rep 2016:bcr2016215582.","DOI":"10.1136\/bcr-2016-215582"},{"issue":"9","key":"2375_CR7","doi-asserted-by":"publisher","first-page":"e6864","DOI":"10.1590\/1414-431x20186864","volume":"51","author":"Y Guo","year":"2018","unstructured":"Guo\u00a0Y, Bai\u00a0Y, Yang\u00a0C, Wang\u00a0P, Gu\u00a0L (2018) Mycotic aneurysm due to Salmonella species: clinical experiences and review of the literature. Braz J Med Biol Res 51(9):e6864","journal-title":"Braz J Med Biol Res"},{"key":"2375_CR8","doi-asserted-by":"crossref","unstructured":"Hassan A, Khan A, Huasen B, Banihani M (2021) Aortoenteric fistula after endovascular mycotic aortic aneurysm exclusion: lessons learned during the COVID-19 era. BMJ Case Rep 14(2):e238875","DOI":"10.1136\/bcr-2020-238875"},{"issue":"1","key":"2375_CR9","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/j.jvs.2021.07.121","volume":"75","author":"CR Jacobs","year":"2022","unstructured":"Jacobs\u00a0CR, Scali\u00a0ST, Khan\u00a0T, Cadavid\u00a0F, Staton\u00a0KM, Feezor\u00a0RJ et\u00a0al (2022) Endovascular aneurysm repair conversion is an increasingly common indication for open abdominal aortic aneurysm repair. J\u00a0Vasc Surg 75(1):144\u2013152 (e1)","journal-title":"J Vasc Surg"},{"issue":"3","key":"2375_CR10","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1016\/j.ejvs.2022.11.003","volume":"65","author":"W Jutidamrongphan","year":"2023","unstructured":"Jutidamrongphan\u00a0W, Kritpracha\u00a0B, Sorelius\u00a0K, Chichareon\u00a0P, Chongsuvivatwong\u00a0V, Sungsiri\u00a0J et\u00a0al (2023) Predicting Infection Related Complications After Endovascular Repair of Infective Native Aortic Aneurysms. Eur J Vasc Endovasc Surg 65(3):425\u2013432","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"5","key":"2375_CR11","doi-asserted-by":"publisher","first-page":"263","DOI":"10.11622\/smedj.2020165","volume":"63","author":"YT Lim","year":"2022","unstructured":"Lim\u00a0YT, Tay\u00a0WM, Lo\u00a0ZJ, Pua\u00a0U, Quek\u00a0LHH, Tan\u00a0BP et\u00a0al (2022) Endovascular repair of mycotic aortic aneurysms confers good medium-term outcomes and aneurysmal sac resolution. Singap Med\u00a0J 63(5):263\u2013267","journal-title":"Singap Med J"},{"issue":"9","key":"2375_CR12","doi-asserted-by":"publisher","first-page":"3903","DOI":"10.1177\/0300060518781651","volume":"46","author":"Y Luo","year":"2018","unstructured":"Luo\u00a0Y, Zhu\u00a0J, Dai\u00a0X, Fan\u00a0H, Feng\u00a0Z, Zhang\u00a0Y et\u00a0al (2018) Endovascular treatment of primary mycotic aortic aneurysms: a\u00a07-year single-center experience. J\u00a0Int Med Res 46(9):3903\u20133909","journal-title":"J Int Med Res"},{"key":"2375_CR13","doi-asserted-by":"crossref","unstructured":"Orellana Davila B, Mancusi C, Coscarella C, Spataro C, Carfagna P, Ippoliti A et al (2024) Urgent or Emergent Endovascular Aortic Repair of Infective Aortitis. J Clin Med 13(16):4669","DOI":"10.3390\/jcm13164669"},{"issue":"1","key":"2375_CR14","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/j.jvs.2012.12.043","volume":"58","author":"ST Scali","year":"2013","unstructured":"Scali\u00a0ST, Waterman\u00a0A, Feezor\u00a0RJ, Martin\u00a0TD, Hess\u00a0PJ Jr., Huber\u00a0TS et\u00a0al (2013) Treatment of acute visceral aortic pathology with fenestrated\/branched endovascular repair in high-surgical-risk patients. J\u00a0Vasc Surg 58(1):56\u201365","journal-title":"J Vasc Surg"},{"issue":"1","key":"2375_CR15","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1016\/j.ejvs.2023.11.006","volume":"68","author":"RAC Skov","year":"2024","unstructured":"Skov\u00a0RAC, Lawaetz\u00a0M, Eldrup\u00a0N, Resch\u00a0TA, Sorelius\u00a0K (2024) Danish Academic Research Consortium for I. Danish Nationwide Study on Surgical Treatment of Infective Native Abdominal Aortic Aneurysms. Eur J Vasc Endovasc Surg 68(1):110\u2013118","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"23","key":"2375_CR16","doi-asserted-by":"publisher","first-page":"1822","DOI":"10.1161\/CIRCULATIONAHA.116.024021","volume":"134","author":"K Sorelius","year":"2016","unstructured":"Sorelius\u00a0K, Wanhainen\u00a0A, Furebring\u00a0M, Bjorck\u00a0M, Gillgren\u00a0P, Mani\u00a0K et\u00a0al (2016) Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair. Circulation 134(23):1822\u20131832","journal-title":"Circulation"},{"issue":"3","key":"2375_CR17","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1016\/j.ejvs.2019.05.004","volume":"58","author":"K Sorelius","year":"2019","unstructured":"Sorelius\u00a0K, Budtz-Lilly\u00a0J, Mani\u00a0K, Wanhainen\u00a0A (2019) Systematic Review of the Management of Mycotic Aortic Aneurysms. Eur J Vasc Endovasc Surg 58(3):426\u2013435","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2375_CR18","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.ejvssr.2016.03.007","volume":"32","author":"JA Sule","year":"2016","unstructured":"Sule\u00a0JA, Dharmaraj\u00a0RB (2016) Surgeon Modified Fenestrated Endovascular Abdominal Aortic Repair (F-EVAR) for Subacute Multifocal Mycotic Abdominal and Iliac Artery Saccular Aneurysms. Ejves Short Rep 32:7\u201311","journal-title":"Ejves Short Rep"},{"issue":"1","key":"2375_CR19","first-page":"42","volume":"79","author":"SP Sunil","year":"2024","unstructured":"Sunil\u00a0SP, Hanif\u00a0H (2024) A\u00a05-year retrospective study of abdominal aortic aneurysm repair in a\u00a0Malaysian hospital. Med J Malaysia 79(1):42\u201346","journal-title":"Med J Malaysia"},{"key":"2375_CR20","doi-asserted-by":"publisher","first-page":"e01295","DOI":"10.1016\/j.idcr.2021.e01295","volume":"26","author":"TK Tong","year":"2021","unstructured":"Tong\u00a0TK, Shan\u00a0G, Sibangun\u00a0FJ, Keung\u00a0BLD (2021) Melioidosis-related mycotic aneurysm: Three cases. IDCases 26:e1295","journal-title":"IDCases"},{"issue":"3","key":"2375_CR21","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1016\/j.ejvs.2021.10.041","volume":"63","author":"J Touma","year":"2022","unstructured":"Touma\u00a0J, Couture\u00a0T, Davaine\u00a0JM, de Boissieu\u00a0P, Oubaya\u00a0N, Michel\u00a0C et\u00a0al (2022) Mycotic\/Infective Native Aortic Aneurysms: Results After Preferential Use of Open Surgery and Arterial Allografts. Eur J Vasc Endovasc Surg 63(3):475\u2013483","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"6","key":"2375_CR22","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1007\/s11748-022-01811-9","volume":"70","author":"S Yi","year":"2022","unstructured":"Yi\u00a0S, Sheng\u00a0L, Li\u00a0W (2022) Therapeutic effectiveness of tuberculous aneurysm and risk factors for mortality: a\u00a0systematic review. Gen Thorac Cardiovasc Surg 70(6):515\u2013525","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"1","key":"2375_CR23","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1148\/radiol.2311021700","volume":"231","author":"TA Macedo","year":"2004","unstructured":"Macedo\u00a0TA, Stanson\u00a0AW, Oderich\u00a0GS, Johnson\u00a0CM, Panneton\u00a0JM, Tie\u00a0ML (2004) Infected aortic aneurysms: imaging findings. Radiology 231(1):250\u2013257","journal-title":"Radiology"}],"container-title":["Die Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-025-02375-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00104-025-02375-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-025-02375-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T13:48:40Z","timestamp":1776952120000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00104-025-02375-z"}},"subtitle":["Fallserie von klinischen Fallbeispielen und die aktuelle Studienlage zu deren Therapieoptionen der offen-chirurgischen Resektion mit Prothesenimplantation (OR) sowie endovaskul\u00e4rem Aortenrepair (EVAR)","Case series of clinical case examples and the current literature on the treatment options of open surgical resection with prosthesis implantation (OR) and endovascular aortic repair (EVAR)"],"short-title":[],"issued":{"date-parts":[[2025,9,16]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["2375"],"URL":"https:\/\/doi.org\/10.1007\/s00104-025-02375-z","relation":{},"ISSN":["2731-6971","2731-698X"],"issn-type":[{"value":"2731-6971","type":"print"},{"value":"2731-698X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,16]]},"assertion":[{"value":"8 August 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"E.\u00a0Schwarz, P.\u00a0Arndt, F.\u00a0Meyer, M.\u00a0Pech und U.\u00a0Barth geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Die Studie wurde gem\u00e4\u00df den Richtlinien der \u201eDeklaration von Helsinki f\u00fcr die biomedizinische Forschung\u201c aus dem Jahr 1964 und deren weiteren \u00c4nderungen, entsprechend den Anweisungen der institutionellen Ethikkommission sowie gem\u00e4\u00df den Regeln der \u201eGuten Klinischen Praxis und Forschung\u201c durchgef\u00fchrt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}