Berrettoni B A, Seitz W H
Head of the Hand and Upper Extremity Clinic, Mt. Sinai Medical Center, Cleveland, OH 44106.
J Hand Surg Am. 1990 Mar;15(2):305-8. doi: 10.1016/0363-5023(90)90114-7.
A mycotic aneurysm of the common digital artery at its junction with the palmar arch, extending into the ulnar proper digital artery of the index finger, is reported in a patient with endocarditis. A review of the English-language literature revealed no case of mycotic aneurysm in a digital artery. Diagnosis of the aneurysm was established noninvasively by ultrasound. Because this patient lacked a radial proper digital artery to the finger, the aneurysm was managed by excision and revascularization with a bypass graft from the long finger. Postoperative circulatory monitoring was facilitated by a pulse oximeter.
本文报道了一例心内膜炎患者，其在指总动脉与掌弓交界处出现霉菌性动脉瘤，并延伸至示指的尺侧指固有动脉。英文文献回顾显示，尚无指动脉霉菌性动脉瘤的病例报道。通过超声无创诊断出该动脉瘤。由于该患者示指缺乏桡侧指固有动脉，故采用切除动脉瘤并取自环指的旁路移植物进行血运重建的方法进行治疗。术后通过脉搏血氧仪进行循环监测。
