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本文引用的文献

1
Intrathoracic aneurysm of right subclavian artery: a surgical approach.右锁骨下动脉胸内动脉瘤：一种手术方法。
Curr Surg. 2006 Mar-Apr;63(2):127-9. doi: 10.1016/j.cursur.2005.04.014.
2
Acceptable short-term results after endovascular repair of diseases of the thoracic aorta in high risk patients.高危患者胸主动脉疾病血管腔内修复术后可接受的短期结果。
Eur J Cardiothorac Surg. 2003 Sep;24(3):379-87. doi: 10.1016/s1010-7940(03)00330-0.
3
Stent-graft repair of a mycotic left subclavian artery pseudoaneurysm.感染性左锁骨下动脉假性动脉瘤的覆膜支架修复术。
J Endovasc Ther. 2003 Feb;10(1):66-70. doi: 10.1177/152660280301000114.
4
Distal septic emboli and fatal brachiocephalic artery mycotic pseudoaneurysm as a complication of stenting.远端感染性栓子及致命性头臂动脉霉菌性假性动脉瘤作为支架置入术的并发症
J Vasc Surg. 2002 Sep;36(3):625-8. doi: 10.1067/mva.2002.127340.
5
Melioidosis presenting as an infected intrathoracic subclavian artery pseudoaneurysm treated with femoral vein interposition graft.类鼻疽表现为感染性胸内锁骨下动脉假性动脉瘤，采用股静脉移植修复治疗。
J Vasc Surg. 2002 Mar;35(3):569-72. doi: 10.1067/mva.2002.118592.
6
Subclavian arteritis and pseudoaneurysm formation secondary to stent infection.锁骨下动脉炎及支架感染继发假性动脉瘤形成
Cardiovasc Intervent Radiol. 2000 Jan-Feb;23(1):57-60. doi: 10.1007/s002709910009.
7
Mycotic aneurysm of the left subclavian artery presented with hemoptysis in an immunosuppressed man: case report and review of literature.一名免疫抑制男性左锁骨下动脉霉菌性动脉瘤伴咯血：病例报告及文献复习
J Vasc Surg. 1995 Apr;21(4):697-702. doi: 10.1016/s0741-5214(95)70201-6.

针对源自右锁骨下动脉的、导致咯血的扩展性霉菌性假性动脉瘤的紧急救援手术。

Emergent rescue operation for expanding mycotic pseudoaneurysm causing hemoptysis, originating from right subclavian artery.

作者信息

Mukaihara Kosuke, Yamamoto Hiroyuki, Arata Kenichi, Ueno Takayuki, Imoto Yutaka, Sakata Ryuzo

机构信息

Department of Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Department of cardiovascular surgery, National Hospital Organization Kagoshima Medical Center, Kagoshima, Kagoshima, Japan.

出版信息

Ann Vasc Dis. 2015;8(1):62-5. doi: 10.3400/avd.cr.14-00116. Epub 2015 Mar 9.

DOI:10.3400/avd.cr.14-00116
PMID:25848438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4369573/
Abstract

Mycotic pseudoaneurysm of the subclavian artery is uncommon and its therapeutic strategy has not been established. We report a case of 81-year-old woman with mycotic pseudoaneurysm in the right subclavian artery. Blood culture showed Enterobacter cloacae. Because of hemoptysis and acute expansion of the pseudoaneurysm, emergent coil embolization was performed, but failed. The patient underwent urgent operation for an en-bloc resection of the pseudoaneurysm after aorto-right common carotid artery bypass followed by omentum packing. The patient underwent continuous wound irrigation for 3 weeks. The postoperative course was uneventful and without recurrence of infection.

摘要

锁骨下动脉霉菌性假性动脉瘤并不常见，其治疗策略尚未确立。我们报告一例81岁女性右锁骨下动脉霉菌性假性动脉瘤病例。血培养显示阴沟肠杆菌。由于咯血和假性动脉瘤急性扩张，进行了紧急弹簧圈栓塞，但失败了。患者在主动脉-右颈总动脉旁路移植术后紧急手术，整块切除假性动脉瘤，随后用网膜填塞。患者持续伤口冲洗3周。术后过程顺利，无感染复发。