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HIV阳性患者复发性胸腹主动脉瘤的血管内及杂交治疗

Endovascular and hybrid treatment of recurrent thoracoabdominal aneurysms in an HIV-positive patient.

作者信息

Testi G, Freyrie A, Gargiulo M, Mauro R, Maioli F, Rossi C, Stella A

机构信息

Cardiovascular Department, Division of Vascular Surgery, S. Orsola-Malpighi Hospital, Bologna, Italy.

出版信息

Eur J Vasc Endovasc Surg. 2007 Jan;33(1):78-80. doi: 10.1016/j.ejvs.2006.07.013. Epub 2006 Aug 23.

Abstract

INTRODUCTION

We report a case of staged endovascular and hybrid treatment of recurrent thoracoabdominal aneurysms (TAAA) in a 55-year-old HIV-positive man.

REPORT

A patient, who had previously been surgically treated for a type III TAAA, presented with recurrent aneurysms. The patient was treated by a combination of endovascular and open surgery. Neither visceral nor spinal ischemia were observed.

CONCLUSION

The hybrid treatment of recurrent TAAA could offer lower mortality and morbidity. Patients with HIV/AIDS treated for aortic aneurysms require close follow-up.

摘要

引言

我们报告了一例55岁HIV阳性男性复发性胸腹主动脉瘤(TAAA)的分期血管内和杂交治疗病例。

报告

一名曾接受过III型TAAA手术治疗的患者出现复发性动脉瘤。该患者接受了血管内手术和开放手术相结合的治疗。未观察到内脏或脊髓缺血。

结论

复发性TAAA的杂交治疗可降低死亡率和发病率。接受主动脉瘤治疗的HIV/AIDS患者需要密切随访。

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