García Franco C E, Dzieciuchowicz L S, Grochowicz L K, Olavide I, Martin-Trenor A, Espinosa G
Department of General Thoracic Surgery, Clinica Universidad de Navarra, Pamplona, Spain.
J Cardiovasc Surg (Torino). 2012 Oct;53(5):661-4. Epub 2011 Jul 19.
Arterial prosthetic graft infection is one of the most challenging issues in vascular surgery. We report a case of an infected descending thoracic aorta endograft, presenting itself several years after placement, with hemoptysis and back pain as referred symptoms. The patient was successfully treated by removing the thoracic aorta and replacing the infected endografts with a cryopreserved aortic allograft, running from the left subclavian artery to the aortic diaphragmatic hiatus.
人工血管移植感染是血管外科中最具挑战性的问题之一。我们报告一例降主动脉腔内移植物感染病例,该感染在植入数年之后出现,以咯血和背痛作为相关症状。通过切除胸主动脉并用从左锁骨下动脉至主动脉膈裂孔的冷冻保存主动脉同种异体移植物替换感染的腔内移植物,成功治疗了该患者。