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[采用股浅静脉移植物治疗腹主动脉破裂性真菌性动脉瘤——病例回顾]

[Ruptured mycotic aneurysm of the abdominal aorta managed using a superficial femoral vein graft--a case review].

作者信息

Dvorák M, Staffa R, Podlaha J, Gladis P, Gregor Z

机构信息

II. chirurgická klinika LF MU a FN u sv. Anny v Brnĕ.

出版信息

Rozhl Chir. 2009 Jan;88(1):11-3.

PMID:19358463
Abstract

Mycotic aneurysm of the abdominal aorta is a rare, but potentially lethal disorder because of the risk of rupture. It presents a permanent problem in vascular surgery. Despite recent advances in endovascular procedures, one of the available surgical interventions generally remains the method of choice. The authors present the case of a patient with a ruptured mycotic aneurysm of the abdominal aorta who urgently underwent aorto-biiliac reconstruction by an autologous superficial femoral vein graft. The patient's post-operative condition with the absence of complications is in agreement with the good results achieved with this technique by surgeons abroad, and gives support to the notion that this approach is superior to other surgical treatments of mycotic aneurysms.

摘要

腹主动脉霉菌性动脉瘤是一种罕见但因有破裂风险而具有潜在致命性的疾病。它在血管外科中是一个长期存在的问题。尽管血管内手术最近取得了进展,但现有的手术干预方法之一通常仍是首选方法。作者报告了一例腹主动脉霉菌性动脉瘤破裂的患者,该患者紧急接受了自体股浅静脉移植的主动脉-双髂动脉重建术。患者术后情况良好且无并发症,这与国外外科医生采用该技术取得的良好效果一致,支持了这种方法优于霉菌性动脉瘤其他外科治疗方法的观点。

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