Tambyraja Andrew L, Wyatt Michael G, Clarke Michael J, Chalmers Roderick T A
Department of Vascular Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, Scotland, UK.
J Vasc Surg. 2003 Oct;38(4):852-4. doi: 10.1016/s0741-5214(03)00614-1.
Graft infection remains a serious complication of prosthetic aortic repair. Infection of thoracoabdominal aortic prosthetic grafts, in particular, is a significant clinical challenge and is associated with high mortality. We report successful in situ reconstruction of an infected thoracoabdominal aortic prosthetic patch graft with autogenous superficial femoral vein. To our knowledge, this is the first such case described in the North American and English language surgical literature. At 24-month follow-up the patient remains well, with no evidence of sepsis or graft complication at clinical and radiologic assessment.
人工血管感染仍然是人工主动脉修复的严重并发症。特别是胸腹主动脉人工血管感染是一项重大临床挑战，且与高死亡率相关。我们报告了使用自体股浅静脉成功原位重建感染的胸腹主动脉人工补片血管。据我们所知，这是北美和英文外科文献中描述的首例此类病例。在24个月的随访中，患者情况良好，临床和影像学评估均未发现败血症或人工血管并发症迹象。
