累及腹腔干的霉菌性胸腹主动脉瘤的治疗
Management of a Mycotic Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery.
作者信息
Dolapoglu Ahmet, de la Cruz Kim I, Coselli Joseph S
出版信息
Tex Heart Inst J. 2016 Dec 1;43(6):528-530. doi: 10.14503/THIJ-15-5505. eCollection 2016 Dec.
Abstract
A mycotic aneurysm that also involves the visceral arteries is a life-threatening condition. Surgical management typically consists of débridement and in situ repair with a Dacron graft and reimplantation of the involved visceral branches. We report a rare case of a mycotic saccular thoracoabdominal aortic aneurysm involving the celiac artery, with Streptococcus pneumoniae as the responsible organism. Successful repair of the aneurysm and concomitant revascularization of the celiac artery were achieved.
摘要
累及内脏动脉的霉菌性动脉瘤是一种危及生命的疾病。手术治疗通常包括清创、用涤纶补片原位修复以及对受累内脏分支进行再植。我们报告一例罕见的霉菌性囊状胸腹主动脉瘤累及腹腔干动脉的病例，病原菌为肺炎链球菌。成功修复了动脉瘤并实现了腹腔干动脉的同期血运重建。
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