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1例采用利福平结合明胶密封编织涤纶人工血管原位重建术治疗A型主动脉夹层升主动脉置换术后人工血管感染合并假性动脉瘤的病例。

A case of in-situ reconstruction with a rifampicin-bonded gelatin-sealed woven dacron graft for prosthetic graft infection with pseudoaneurysms after ascending aortic replacement for type a dissection.

作者信息

Iida Yasunori, Ito Tsutomu, Kitahara Hiroto, Takebe Motojiro, Nemoto Atsushi, Nagumo Mai, Saito Kenji, Yamaya Takeshi, Kanno Hiroshi, Misumi Takahiko

机构信息

Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.

Department of Pharmacy, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.

出版信息

Ann Vasc Dis. 2014;7(1):68-71. doi: 10.3400/avd.cr.13-00083. Epub 2014 Feb 4.

DOI:10.3400/avd.cr.13-00083
PMID:24719667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3968420/
Abstract

A 74-year-old woman underwent replacement of the ascending aorta for acute type A aortic dissection. The patient suffered from bacteremia postoperatively and repeated computed tomography showed an increasing diameter of pseudoaneurysms at the site of the proximal anastomosis due to graft infection. Re-mechanical Bentall operation and arch replacement were therefore performed using a composite graft of a rifampicin-bonded gelatin-sealed 24-mm woven Dacron graft and a mechanical valve. The postoperative course was uneventful. We report the successful in situ reconstruction using the above-mentioned Dacron graft and describe the preparation of the rifampicin solution using a surfactant.

摘要

一名74岁女性因急性A型主动脉夹层接受升主动脉置换术。患者术后发生菌血症，重复计算机断层扫描显示由于移植物感染，近端吻合口处假性动脉瘤直径不断增大。因此，使用利福平结合明胶密封的24毫米编织涤纶移植物和机械瓣膜的复合移植物进行了再次机械性Bentall手术和主动脉弓置换。术后过程顺利。我们报告了使用上述涤纶移植物成功进行原位重建的情况，并描述了使用表面活性剂制备利福平溶液的方法。

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