Reijnen Michel M P J, van Sterkenburg Steven M M
Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
J Vasc Surg. 2014 Oct;60(4):1056-8. doi: 10.1016/j.jvs.2013.07.102. Epub 2013 Sep 11.
Treatment of infection-induced aortic aneurysms is among the greatest challenges nowadays of vascular surgery because the use of prosthetic material is considered unsuitable. The Cardiatis multilayer stent (Cardiatis, Isnes, Belgium) is a flow-diverting bare stent with a proven efficacy in peripheral and visceral artery aneurysms. We present a unique case of a Salmonella serotype enteritidis-induced rapidly expanding aortic pseudoaneurysm with a penetrating ulcer that was treated with the Cardiatis multilayer stent. At 18 months of follow-up, the patient was in good clinical condition, with normalized C-reactive protein levels. Computed tomography angiography and 2-deoxy-2-[F18]-fluoro-d-glucose-positron-emission tomography/computed tomography showed a stable, mostly thrombosed aneurysm, with adequate perfusion of the side branches and no remaining signs of infection.
感染性主动脉瘤的治疗是当今血管外科面临的最大挑战之一，因为使用人工材料被认为不合适。Cardiatis多层支架（Cardiatis，比利时伊斯内斯）是一种血流导向裸支架，已被证明对外周和内脏动脉瘤有效。我们报告了一例独特的由肠炎沙门氏菌引起的快速扩张性主动脉假性动脉瘤合并穿透性溃疡的病例，该病例采用Cardiatis多层支架进行了治疗。随访18个月时，患者临床状况良好，C反应蛋白水平恢复正常。计算机断层扫描血管造影和2-脱氧-2-[F18]-氟-D-葡萄糖正电子发射断层扫描/计算机断层扫描显示动脉瘤稳定，大部分已血栓形成，侧支血流灌注充足，且无残留感染迹象。
