Karkos Christos D, Kalogirou Thomas E, Giagtzidis Ioakeim T, Papazoglou Konstantinos O
Tex Heart Inst J. 2014 Dec 1;41(6):634-7. doi: 10.14503/THIJ-13-3882. eCollection 2014 Dec.
The rupture of a mycotic femoral artery pseudoaneurysm in an intravenous drug abuser is a limb- and life-threatening condition that necessitates emergency intervention. Emergency stent-grafting appears to be a viable, minimally invasive alternative, or a bridge, to subsequent open surgery. Caution is required in cases of suspected concomitant deep vein thrombosis in order to minimize the possibility of massive pulmonary embolism during stent-grafting, perhaps by omitting stent-graft postdilation or by inserting an inferior vena cava filter first. We describe the emergency endovascular management, in a 60-year-old male intravenous drug abuser, of a ruptured mycotic femoral artery pseudoaneurysm, which was complicated by a fatal pulmonary embolism.
静脉药物滥用者发生霉菌性股动脉假性动脉瘤破裂是一种危及肢体和生命的情况，需要紧急干预。紧急支架植入术似乎是一种可行的、微创的替代方法，或后续开放手术的桥梁。对于疑似合并深静脉血栓形成的病例，需要谨慎操作，以尽量减少支架植入期间发生大面积肺栓塞的可能性，可能的方法是省略支架后扩张或先插入下腔静脉滤器。我们描述了一名60岁男性静脉药物滥用者霉菌性股动脉假性动脉瘤破裂的紧急血管内治疗，该病例并发了致命的肺栓塞。
