Takahashi Yosuke, Tsutsumi Yasushi, Monta Osamu, Kohshi Keitaro, Ohashi Hirokazu
Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan.
J Card Surg. 2010 Mar;25(2):218-20. doi: 10.1111/j.1540-8191.2009.00990.x. Epub 2010 Feb 9.
A 59-year-old man presented with a three-month history of back pain, and enhanced computed tomography demonstrated an acutely expanding aneurysm of the descending thoracic aorta with slight erosion of the corresponding vertebrae. Because of suspected infectious or inflammatory etiology, he was managed with a combination of emergency aortic repair using prosthetic graft with omental flap and antibiotic chemotherapy. Haemophilus influenzae was identified from perioperative specimens and the postoperative course was uneventful.
一名59岁男性因背痛3个月就诊，增强计算机断层扫描显示胸降主动脉急性扩张性动脉瘤，相应椎体有轻微侵蚀。由于怀疑有感染或炎症病因，对其采用人工血管联合网膜瓣紧急主动脉修复术及抗生素化疗进行治疗。围手术期标本中检出流感嗜血杆菌，术后病程顺利。
