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真菌性主动脉瘤:一个不太可能的位置和不太可能的病原体的病例。

Mycotic aortic aneurysm: A case of an unlikely location and an unlikely pathogen.

机构信息

Department of Cardiology, Flinders Medical Centre, Flinders Drive, Bedford Park 5042, South Australia, Australia.

出版信息

Heart Lung Circ. 2011 Mar;20(3):193-6. doi: 10.1016/j.hlc.2010.08.006. Epub 2010 Sep 18.

DOI:10.1016/j.hlc.2010.08.006
PMID:20851680
Abstract

This is an unusual case of a mycotic aortic aneurysm located in the ascending aorta caused by Neisseria meningitidis. The diagnosis was made using two-dimensional (2D) and three-dimensional (3D) transoesophageal echocardiogram (TOE) and cardiovascular magnetic resonance (CMR). Management was with prolonged antibiotics followed by surgical resection. The ascending aorta was replaced with Dacron tube graft. The contribution of multimodality imaging in clearly defining the pathology, its location and directing the timing of surgery, was a striking aspect of this case.

摘要

这是一个由脑膜炎奈瑟菌引起的升主动脉真菌性主动脉瘤的不寻常病例。该诊断采用二维(2D)和三维(3D)经食管超声心动图(TOE)和心血管磁共振(CMR)得出。治疗方法是长期使用抗生素,然后进行手术切除。升主动脉用涤纶管移植物置换。多模态成像在明确病理、位置和指导手术时机方面的贡献是该病例的一个显著特点。

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