Ting Albert C W, Cheng Stephen W K, Ho Pei, Poon Jensen T C
Division of Vascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong China.
Eur J Cardiothorac Surg. 2004 Jul;26(1):221-4. doi: 10.1016/j.ejcts.2004.03.035.
Salmonella mycotic thoracic aortic aneurysm is a rare but life-threatening condition. We report a 59-year-old man with two Salmonella mycotic thoracic aortic aneurysms, presented with fever and chills associated with hoarseness due to left vocal cord palsy (Cardiovocal syndrome). Successful endovascular repair was performed using two Talent thoracic stent-graft devices deployed separately to cover the two mycotic aneurysms. Subsequent computed tomography at 12 months after the operation confirmed exclusion of the two pseudoaneurysms with no endoleak. With potent antibiotics and careful surveillance program, endovascular repair is a possible alternative to conventional open surgery in the management of mycotic thoracic aortic aneurysms, especially in high-risk patients.
沙门氏菌感染性胸主动脉瘤是一种罕见但危及生命的疾病。我们报告了一名59岁男性，患有两个沙门氏菌感染性胸主动脉瘤，表现为发热、寒战，伴有因左侧声带麻痹（心血管性嗓音综合征）导致的声音嘶哑。使用两个分别部署的Talent胸主动脉覆膜支架装置成功进行了血管内修复，以覆盖这两个感染性动脉瘤。术后12个月的后续计算机断层扫描证实两个假性动脉瘤被排除，无内漏。通过强效抗生素和仔细的监测方案，血管内修复在感染性胸主动脉瘤的治疗中是传统开放手术的一种可能替代方法，尤其是在高危患者中。
