Gardner Glenn P, Morris Marvin E, Makamson Benjamin, Faizer Rumi M
Department of Surgery, University of Missouri Columbia, Columbia, Missouri 65212, USA.
Ann Vasc Surg. 2010 Apr;24(3):418.e1-6. doi: 10.1016/j.avsg.2009.08.015. Epub 2009 Dec 29.
We report a case of an elderly man admitted with abdominal pain and fever, 5 months after endovascular aortic aneurysm repair of a suspected inflammatory abdominal aortic aneurysm. He underwent successful explantation of an infected stent graft with suprarenal fixation following extra-anatomic revascularization. After a prolonged hospitalization, he was discharged on antibiotics and at follow-up has returned to baseline activity level. Although explantation of an infected prosthesis following endovascular aortic aneurysm repair has been previously reported, our case prompted a review of the literature to evaluate mode of presentation, putative factors, and management decisions associated with reduced morbidity and mortality.
我们报告了一例老年男性患者，该患者在接受疑似炎性腹主动脉瘤的血管内主动脉瘤修复术后5个月，因腹痛和发热入院。在进行解剖外血管重建后，他成功地取出了带有肾上腺固定的感染支架移植物。经过长时间住院治疗，他在服用抗生素的情况下出院，随访时已恢复至基线活动水平。尽管此前已有血管内主动脉瘤修复术后取出感染假体的报道，但我们的病例促使我们对文献进行回顾，以评估其表现方式、假定因素以及与降低发病率和死亡率相关的管理决策。
