Following gentle debridement, feeding vessels were oversewn from inside the aneurysm sac. Triphasic Doppler signals were obtained on the antimesenteric border of the terminal ileum, and palpable pulses were noted in the mesentery distal to the excluded aneurysm. The intestines were returned to peritoneal cavity, and the abdominal incision was closed. The patient resumed oral alimentation on postoperative day four and made an uneventfiul recovery. Cultures of the aneurysm contents were negative. Antibiotics were continued for a total of 30 days to complete treatment of the bacterial endocarditis.
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