Tsukioka Katsuaki, Takahashi Kohei, Gomibuchi Toshihito, Kono Tetsuya, Yajima Takahiro, Owa Mafumi
Department of Cardiovascular Surgery, Suwa Red Cross Hospital, Nagano, Japan.
Ann Vasc Dis. 2013;6(1):87-90. doi: 10.3400/avd.cr.12.00090. Epub 2013 Feb 28.
A 74-year old man on hemodialysis developed a mycotic aneurysm caused by Clostridium difficile. To the best of our knowledge, this is only the second case of such an aneurysm reported in the literature. He had previously undergone axillobifemoral bypass grafting because of symptomatic infrarenal aortic stenosis. Although no blood flow was detected in his occluded right common iliac artery, it expanded rapidly despite intensive antibiotic therapy. As the blood supply to the lower limbs was already secured, only resection of the infected arteries was performed.
一名接受血液透析的74岁男性发生了由艰难梭菌引起的霉菌性动脉瘤。据我们所知，这是文献中报道的此类动脉瘤的第二例。他此前因有症状的肾下腹主动脉狭窄接受了腋双股旁路移植术。尽管在其闭塞的右髂总动脉中未检测到血流，但尽管进行了强化抗生素治疗，该动脉仍迅速扩张。由于下肢的血液供应已经得到保障，仅对感染的动脉进行了切除。
