动脉瘤切除及搭桥术后12年感染性腘动脉瘤的外科治疗

Surgical treatment of an infected popliteal artery aneurysm 12 years after aneurysm exclusion and bypass.

作者信息

Funk Luke M, Robinson William P, Menard Matthew T

机构信息

Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA.

出版信息

Ann Vasc Surg. 2010 May;24(4):553.e9-553.e11. doi: 10.1016/j.avsg.2009.09.016. Epub 2010 Jan 25.

DOI:10.1016/j.avsg.2009.09.016

PMID:20097519

Abstract

The presence of persistent blood flow in popliteal artery aneurysms that have been treated with exclusion and bypass is surprisingly common. Complications from incompletely excluded aneurysms include aneurysm enlargement, local compressive symptoms, and sac rupture. Infection of a previously excluded and bypassed popliteal artery aneurysm is a notably rare complication. In this case report, we describe a patient with an infection of a popliteal artery aneurysm 12 years following surgical repair. The patient was successfully treated with aneurysm resection and soft tissue debridement.

摘要

在接受了血管外覆和旁路手术治疗的腘动脉瘤中，持续存在血流的情况出奇地常见。未完全被血管外覆的动脉瘤引发的并发症包括动脉瘤扩大、局部压迫症状和瘤体破裂。既往接受过血管外覆和旁路手术的腘动脉瘤发生感染是一种极为罕见的并发症。在本病例报告中，我们描述了一名患者在手术修复12年后发生腘动脉瘤感染的情况。该患者通过动脉瘤切除术和软组织清创术获得了成功治疗。