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使用血管内支架移植物成功治疗累及主动脉弓分支的霉菌性假性动脉瘤。

Successful management of a mycotic pseudoaneurysm involving an arch branch using an endovascular stent graft.

作者信息

Choi Si Young, Kim Chi Kyung, Park Chan Beom

机构信息

Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, Uijeongbu-Si, Republic of Korea.

出版信息

Thorac Cardiovasc Surg. 2013 Oct;61(7):600-2. doi: 10.1055/s-0032-1328805. Epub 2012 Dec 17.

Abstract

Mycotic aneurysms in the aortic arch are extremely rare and represent a challenging surgical problem. Although surgery is the standard treatment, application of endovascular repair has been extended, but this technique carries a concern regarding the interposition of an artificial graft in the infected lesion. We present the case of an infected pseudoaneurysm in the thoracic aorta which was successfully excluded by treatment with a stent graft.

摘要

主动脉弓部的霉菌性动脉瘤极为罕见,是一个具有挑战性的外科问题。虽然手术是标准治疗方法,但血管内修复的应用范围已有所扩大,不过该技术存在人工移植物植入感染病灶的问题。我们报告一例胸主动脉感染性假性动脉瘤病例,通过使用覆膜支架成功将其隔绝。

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