Koeppel Thomas A, Gahlen Johannes, Diehl Steffen, Prosst Ruediger L, Dueber Christoph
Department of Surgery, University Hospital Mannheim, Faculty of Clinical Medicine of the University of Heidelberg, Germany.
J Vasc Surg. 2004 Jul;40(1):164-6. doi: 10.1016/j.jvs.2004.02.046.
Mycotic aortic aneurysms are rare. Improved diagnostic procedures, appropriate antibiotic treatment, and safe surgical techniques have reduced the high mortality associated with bacterial aortitis. However, definite evidence-based conclusions with regard to the surgical strategy cannot be drawn from the data available in the published literature. We report successful endovascular repair of a mycotic abdominal aortic aneurysm. Endovascular treatment may offer a benefit, especially in critically ill patients.
真菌性主动脉瘤较为罕见。改进的诊断程序、适当的抗生素治疗以及安全的手术技术降低了与细菌性主动脉炎相关的高死亡率。然而，从已发表文献中的现有数据无法得出关于手术策略的确凿的循证结论。我们报告了一例真菌性腹主动脉瘤的成功血管腔内修复术。血管腔内治疗可能有益，尤其是对危重症患者。
