Hashizume Koji, Taniguchi Shinichiro, Matsumaru Ichiro, Nakaji Shun, Sumi Mizuki, Eishi Kiyoyuki
Department of Cardiovascular Surgery, Nagasaki Harbor Medical Center, Nagasaki, Japan.
Kyobu Geka. 2017 Sep;70(10):837-841.
A 68-year-old woman underwent replacement of the ascending aorta for acute type A aortic dissection. She was then diagnosed with postoperative methicillin-resistant Staphylococcus aureus (MRSA) infection, and the infected aortic graft was replaced with a rifampicin-soaked vascular prosthesis, which was followed by continuous irrigation using a 0.1% povidone-iodine solution. The postoperative course was uneventful, and she has been doing well for 5 years with no recurrence of infection. Prosthetic graft replacement using a rifampicin-soaked graft followed by continuous irrigation with povidone-iodine is useful for treatment of an MRSA-infected prosthetic vascular graft.
一名68岁女性因急性A型主动脉夹层接受了升主动脉置换术。随后她被诊断为术后耐甲氧西林金黄色葡萄球菌（MRSA）感染，感染的主动脉移植物被用利福平浸泡过的血管假体替换，之后用0.1%聚维酮碘溶液持续冲洗。术后过程顺利，她5年来情况良好，无感染复发。使用利福平浸泡过的移植物进行人工血管置换，随后用聚维酮碘持续冲洗，对治疗MRSA感染的人工血管移植物是有效的。
