Kim Jeong Goo, Kwon Jong Beom, Park Kuhn, Lee Jongho
Department of General Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Daejeon, Korea.
J Korean Surg Soc. 2012 Oct;83(4):250-3. doi: 10.4174/jkss.2012.83.4.250. Epub 2012 Sep 25.
The generally accepted treatment for infected aortic aneurysms involves open surgical resection and debridement, with in situ or extra-anatomical bypass. Occasionally, endovascular management can be substituted for the standard operation dependent on the patient's condition. We report the case of an 81-year-old female with a ruptured infected aortic aneurysm and sepsis, successfully treated endovascularly. She had been on oral antibiotics for one year and is doing well 2 years after discharge.
感染性主动脉瘤的公认治疗方法包括开放手术切除和清创,并进行原位或解剖外旁路移植。偶尔,根据患者情况,可采用血管腔内治疗替代标准手术。我们报告一例81岁女性患者,患有破裂性感染性主动脉瘤并伴有脓毒症,成功接受了血管腔内治疗。她已口服抗生素一年,出院两年后情况良好。