Koganti Deepika, Ryan Sean P, Kwon Jeon, Abai Babak, Dimuzio Paul J, Salvatore Dawn M
Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
Ann Vasc Surg. 2016 Oct;36:296.e13-296.e18. doi: 10.1016/j.avsg.2016.04.008. Epub 2016 Jul 15.
Mycotic aortic aneurysms are rare occurrences and such aneurysms associated with Streptococcus pneumoniae are seldom seen in the current antibiotic era. We present the unusual case of a 68-year-old healthy female with a Streptococcal mycotic abdominal aortic aneurysm of unknown etiology treated with antibiotics and open surgical intervention. Postoperative imaging revealed multiple new thoracic mycotic aortic aneurysms for which she was treated with thoracic endovascular aortic repair. Sequential abdominal and thoracic Streptococcal mycotic aortic aneurysms treated with a combination of open and endovascular surgery demonstrate a unique and rare case.
霉菌性主动脉瘤较为罕见，在当前抗生素时代，与肺炎链球菌相关的此类动脉瘤更是少见。我们报告了一例不寻常的病例，一名68岁健康女性患有病因不明的链球菌性霉菌性腹主动脉瘤，接受了抗生素治疗及开放手术干预。术后影像学检查发现多个新的胸段霉菌性主动脉瘤，对此她接受了胸段血管腔内主动脉修复术。先后采用开放手术和血管腔内手术治疗腹段和胸段链球菌性霉菌性主动脉瘤，这是一个独特且罕见的病例。
