Service de Chirurgie Vasculaire et Thoracique, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Université Paris 7, Paris, France.
J Vasc Surg. 2011 Jun;53(6):1711-3. doi: 10.1016/j.jvs.2011.01.076. Epub 2011 Apr 16.
We report a rare case of pneumococcal aortitis secondary to endovascular bare-metal stent infection. The patient was a 70-year-old man presenting with back pain 1 year after aortoiliac implantation of bare-metal kissing stents. Final diagnosis was microbial aortitis due to Streptococcus pneumoniae involving the stents that resulted in a contained aortic rupture requiring urgent surgical treatment. Emergency extra-anatomic revascularization, excision of the infected tissues, and appropriate antibiotic therapy led to a favorable outcome. A high index of suspicion is required in such a situation because the mortality rate is very high in the absence of appropriate treatment.
我们报告了一例罕见的细菌性主动脉炎继发于血管内裸金属支架感染。患者为 70 岁男性，在接受裸金属吻接支架主动脉-髂动脉植入术后 1 年出现背痛。最终诊断为微生物性主动脉炎，由肺炎链球菌引起，累及支架，导致主动脉破裂但局限，需要紧急外科治疗。紧急行体外旁路重建、切除感染组织及适当的抗生素治疗，获得了良好的结果。在这种情况下，需要高度怀疑，因为如果没有适当的治疗，死亡率非常高。
