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降主动脉霉菌性动脉瘤伴咯血。

Mycotic aneurysm of the descending aorta with hemoptysis.

作者信息

Munakata Mamoru, Hirotani Takashi, Nakamichi Tsukasa, Takeuchi Shigeyuki

机构信息

Department of Cardiovascular Surgery, Tokyo Saiseikai Central Hospital, Tokyo, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2004 Oct;10(5):314-6.

Abstract

Mycotic aneurysm of the descending aorta is usually described as rare. We present two recent cases of mycotic aneurysm of the descending aorta complicated with hemoptysis. Urgent tube graft replacements were successfully performed under cardiopulmonary bypass support. Bacterial causes of the aneurysms were methicillin-resistant Staphylococcus aureus in the first case and Staphylococcus aureus in the second case. Although the first patient died fifteenth months after surgery, the second patient remains well fourteenth months after the operation.

摘要

降主动脉霉菌性动脉瘤通常被认为很罕见。我们报告两例近期降主动脉霉菌性动脉瘤合并咯血的病例。在体外循环支持下成功进行了紧急人工血管置换术。两例动脉瘤的细菌病因分别为第一例是耐甲氧西林金黄色葡萄球菌,第二例是金黄色葡萄球菌。尽管第一例患者术后十五个月死亡,但第二例患者术后十四个月情况良好。

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