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用于广泛肺炎球菌性胸主动脉炎的冰冻象鼻手术

Frozen elephant trunk procedure for extensive pneumococcal thoracic aortitis.

作者信息

Guihaire Julien, Revest Matthieu, Heautot Jean-François, Verhoye Jean-Philippe

机构信息

1 Thoracic and Cardiovascular Surgery, University Hospital of Rennes, Rennes, France.

2 Infectious Disease and Intensive Care Unit, University Hospital of Rennes, Rennes, France.

出版信息

Asian Cardiovasc Thorac Ann. 2017 Feb;25(2):134-136. doi: 10.1177/0218492315609836. Epub 2016 Jul 20.

DOI:10.1177/0218492315609836
PMID:26424746
Abstract

Infectious arteritis is an insidious condition commonly associated with a long diagnostic delay. We report the management of extensive pneumococcal thoracic aortitis in a 64-year-old woman. The frozen elephant trunk procedure was performed to repair the aortic arch. Prolonged aortic wall cultures were positive for Streptococcus pneumoniae. Late follow-up imaging at 36 months demonstrated no sign of recurrence around the hybrid vascular graft in the thoracic aorta.

摘要

感染性动脉炎是一种隐匿性疾病,通常伴有较长的诊断延迟。我们报告了一名64岁女性广泛肺炎球菌性胸主动脉炎的治疗情况。采用了“冰冻象鼻”手术修复主动脉弓。主动脉壁长期培养结果显示肺炎链球菌呈阳性。36个月的后期随访影像学检查显示胸主动脉杂交血管移植物周围无复发迹象。

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