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覆膜支架腔内隔绝术后迟发性感染致近肾腹主动脉破裂的原位主动脉置换治疗

Late endovascular aneurysm repair infection presenting with juxatrenal aortic rupture treated with in situ aortic replacement.

机构信息

Department of Surgery, Division of Vascular Surgery, The Edith and Benson Ford Cardiovascular Institute, Henry Ford Hospital, Detroit, Mich., USA.

出版信息

J Vasc Surg. 2011 Oct;54(4):1157-60. doi: 10.1016/j.jvs.2011.04.008. Epub 2011 Jul 2.

DOI:10.1016/j.jvs.2011.04.008
PMID:21723686
Abstract

Infection of an endovascular abdominal aneurysm repair (EVAR) is rare but has become more prevalent with the standardization of EVAR for treating infrarenal abdominal aortic aneurysms. The understanding of this complex aortic condition has improved but still remains to evolve. We present a patient with an EVAR infection manifesting with juxtarenal aortic rupture as a result of a urinary tract infection. This report describes an unusual presentation of an EVAR infection treated with in situ aortic reconstruction and provides >1 year of follow-up.

摘要

腹主动脉瘤腔内修复术（EVAR）感染较为罕见，但随着 EVAR 治疗肾下型腹主动脉瘤的标准化，其发病率有所增加。尽管对这种复杂的主动脉疾病的认识有所提高，但仍在不断发展。我们报告了一例 EVAR 感染患者，其临床表现为尿路感染导致的肾周主动脉破裂。本报告描述了一例采用原位主动脉重建治疗的不常见 EVAR 感染病例，并提供了 >1 年的随访结果。

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