大隐静脉螺旋移植术：成功急诊修复合并主动脉十二指肠瘘的霉菌性动脉瘤。

Saphenous vein spiral graft: successful emergency repair of a mycotic aneurysm with aortoduodenal fistula.

作者信息

Heikens J T, Coveliers H M E, Burger D H C, van Berge Henegouwen D P, Vriens P W

机构信息

Department of Vascular Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands.

出版信息

Eur J Vasc Endovasc Surg. 2006 Oct;32(4):408-10. doi: 10.1016/j.ejvs.2006.04.016. Epub 2006 Jun 16.

DOI:10.1016/j.ejvs.2006.04.016

PMID:16782364

Abstract

Mycotic aneurysms leading to aortoduodenal fistula (ADF) are associated with high morbidity and mortality. We report a patient with a mycotic aneurysm and ADF who required emergency laparotomy. After excision of the aneurysm, vascular reconstruction was performed using an autologous graft. The left long saphenous vein was harvested and constructed into a spiral graft. The graft was inserted using a standard inlay technique. After 12 months the patient is in good health. No inflammation or dilation of the saphenous vein spiral graft has been noted. We suggest that in the emergency treatment of mycotic abdominal aneurysm, aortic reconstruction with saphenous vein spiral graft is a valuable option.

摘要

导致主动脉十二指肠瘘（ADF）的真菌性动脉瘤与高发病率和死亡率相关。我们报告一例患有真菌性动脉瘤和ADF的患者，该患者需要进行急诊剖腹手术。切除动脉瘤后，使用自体移植物进行血管重建。采集左大隐静脉并构建成螺旋状移植物。采用标准镶嵌技术插入移植物。12个月后患者健康状况良好。未发现大隐静脉螺旋状移植物有炎症或扩张。我们认为，在真菌性腹主动脉瘤的急诊治疗中，用大隐静脉螺旋状移植物进行主动脉重建是一种有价值的选择。