Yong David, Roake Justin A, Buckenham Timothy, Lewis David R
Department of General and Vascular Surgery, Christchurch Hospital, Christchurch.
N Z Med J. 2008 Feb 15;121(1269):64-7.
The management of mycotic aneurysms is difficult, with high morbidity and mortality. Traditional open operative approaches include removal of infected material with either extra-anatomic reconstruction or in situ graft repair. Since the advent of endovascular aneurysm repair (EVAR) in the early 1990s, its use in the treatment of aneurysm disease has increased due to proven decrease in 30-day mortality. There have been few case studies reporting the use of EVAR for infected aneurysms. We describe two cases of mycotic aneurysm of the abdominal aorta that were successfully managed with EVAR.
真菌性动脉瘤的治疗颇具难度，其发病率和死亡率都很高。传统的开放手术方法包括通过解剖外重建或原位移植修复来清除感染物质。自20世纪90年代初血管内动脉瘤修复术（EVAR）问世以来，由于已证实其能降低30天死亡率，它在动脉瘤疾病治疗中的应用有所增加。鲜有病例研究报道使用EVAR治疗感染性动脉瘤。我们描述了两例腹主动脉真菌性动脉瘤通过EVAR成功治疗的病例。
