Hjerpsted Ulrik, Sandermann Jes, Grøndal Nikolaj
Århus Plads 2, 3. th., 2100 København Ø. E-mail:
Ugeskr Laeger. 2014 Jul 7;176(28):V11130664.
No gold standard exists in the treatment of mycotic aorto-iliac aneurysms. Surgical debridement and revascularization with bypass remain as the most definitive surgical solution, but also carry a relatively high risk of perioperative morbidity as compared to an endovascular approach. We present a case story with a mycotic a. iliac aneurysm treated successfully with an endoluminal covered stent graft. The patient had severe co-morbidity that ruled out open surgery.
在真菌性主-髂动脉瘤的治疗中不存在金标准。手术清创和旁路血管重建仍然是最确切的手术解决方案,但与血管腔内治疗方法相比,围手术期发病率风险相对较高。我们报告一例采用腔内带覆膜支架成功治疗真菌性髂动脉瘤的病例。该患者有严重的合并症,排除了开放手术。