Mofidi R, Bhat R, Nagy J, Griffiths G D, Chakraverty S
Department of Vascular Surgery and Radiology, Ninewells Hospital, Dundee DD1 9SY, UK.
Cardiovasc Intervent Radiol. 2007 Sep-Oct;30(5):1029-32. doi: 10.1007/s00270-007-9025-6.
This report describes the case of a ruptured mycotic aneurysm of the left common iliac artery, successfully treated with endovascular stent-grafting. A 64-year-old woman underwent diagnostic coronary angiography complicated by an infected hematoma of the left groin. Seven days later, she developed methicillin-resistant Staphylococcus aureus septicemia and CT scan evidence of perivascular inflammation around the left common iliac artery. This was followed by rupture of a mycotic aneurysm of the left common iliac artery. The lesion was successfully treated with a stent-graft and prolonged antibiotic therapy, and the patient remains free of infection 10 months later. Accumulating evidence suggests that endovascular repair can be used safely for the repair of ruptured infected aneurysms.
本报告描述了一例左髂总动脉霉菌性动脉瘤破裂的病例，该病例通过血管内支架植入术成功治疗。一名64岁女性接受诊断性冠状动脉造影时并发左腹股沟感染性血肿。7天后，她出现耐甲氧西林金黄色葡萄球菌败血症，CT扫描显示左髂总动脉周围有血管周围炎症迹象。随后发生了左髂总动脉霉菌性动脉瘤破裂。该病变通过支架植入和延长抗生素治疗成功治愈，10个月后患者仍未感染。越来越多的证据表明，血管内修复可安全用于治疗破裂的感染性动脉瘤。
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