胸主动脉腔内修复术后并发感染性动脉瘤破裂，经再次胸主动脉腔内修复术修复
Post-Thoracic Endovascular Aortic Repair Complicated with Mycotic Aneurysm Rupture, Repaired by Redo Thoracic Endovascular Aortic Repair.
作者信息
Kondo Taichi, Hirota Masanori, Kondo Shunichi, Hoshino Joji, Yoshida Minoru, Isomura Tadashi
机构信息
Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan.
Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan.
出版信息
Ann Vasc Surg. 2016 May;33:228.e1-4. doi: 10.1016/j.avsg.2015.10.037. Epub 2016 Mar 8.
Mycotic aneurysms although rare can be devastating. We encountered a dialysis patient with rapidly expanding distal aortic arch aneurysm who underwent axilloaxillary bypass and thoracic endovascular aortic repair (TEVAR). Three months later, he suffered mycotic aneurysm rupture for which redo TEVAR was performed. Antibiotic therapy was discontinued 16 weeks after the second operation, and renal transplantation was performed 6 months later. Dialysis was discontinued in the patient without infection recurrence.
霉菌性动脉瘤虽然罕见，但可能具有毁灭性。我们遇到一名患有快速扩张的主动脉弓远端动脉瘤的透析患者，该患者接受了腋腋旁路移植术和胸段血管腔内主动脉修复术（TEVAR）。三个月后，他发生了霉菌性动脉瘤破裂，为此进行了再次TEVAR手术。第二次手术后16周停用抗生素治疗，6个月后进行了肾移植。该患者未出现感染复发，已停止透析。
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