Hamamoto Hirotsugu, Miyamoto Shinji, Anai Hirofumi, Sako Hidenori, Iwata Eriko, Hadama Tetsuo
Department of Cardiovascular Surgery, Oita Medical University, Hasama-machi, Oita 879-5593, Japan.
Jpn J Thorac Cardiovasc Surg. 2003 Feb;51(2):59-61. doi: 10.1007/BF02719168.
A 52-year-old man hospitalized for hoarseness and chest pain was found in chest computed tomography to have an impending aortic arch aneurysm rupture. Laboratory studies showed the presence of severe inflammation. Based on a clinical diagnosis of infected aortic arch aneurysm, we conducted total arch replacement. Salmonella was identified in the aneurismal wall and antibiotics were administered long-term. The postoperative course was uneventful. The patient was discharged on postoperative day 48. He has remained afebrile and asymptomatic in the 10 months since surgery but continues to take 300 mg/d of oral levofloxacin.
一名因声音嘶哑和胸痛住院的52岁男性，胸部计算机断层扫描显示有即将破裂的主动脉弓动脉瘤。实验室检查显示存在严重炎症。基于感染性主动脉弓动脉瘤的临床诊断，我们进行了全弓置换术。在动脉瘤壁中鉴定出沙门氏菌，并长期使用抗生素。术后过程顺利。患者于术后第48天出院。自手术以来的10个月里，他一直没有发热且无症状，但仍继续每天服用300毫克口服左氧氟沙星。
