Repair of Native Infective Aortic Aneurysm. Report of five cases and review of Latin-American Literature

Infectious aortitis is a rare disease that rapidly evolves into a false aneurysm and rupture. Antibiotic therapy associated with complete surgical excision of the infected aorta, debridement, and in situ or extra-anatomic revascularization are the most recommended options for infection control and avoiding aortic rupture. However, this surgery has high morbidity and mortality rates, especially in older patients compromised by sepsis, comorbidities and advanced age. This has motivated endovascular repair as a less invasive alternative that has been showing promising results. However, there are uncertainties regarding recurrent or persistent infectious complications. This manuscript describes the management of five patients with primary aortic aneurysm infections, three thoracic and two abdominal. Four were treated endovascularly, and one open. Cases are from Argentina, Colombia, the Dominican Republic and Uruguay. Additionally, a literature review in Latin America is included.