Nemoto Youkou, Hosoi Yutaka, Hoshina Katsuyuki, Nunokawa Masao, Kubota Hiroshi, Watanabe Toshiaki
Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Cardiovascular Surgery, Kyorin University Hospital, Mitaka, Tokyo, Japan.
Ann Vasc Dis. 2017 Jun 25;10(2):159-163. doi: 10.3400/avd.hdi.17-00001.
The surgical outcomes in patients with mycotic aortic aneurysm are still poor. In situ reconstruction and extra-anatomical bypass are the 2 main surgical options used in these patients, both of which have postoperative complications: recurrence of infection and aortic stump blowout, respectively. We performed in situ reconstruction in 25 consecutive patients with mycotic abdominal aortic aneurysms together with extended debridement using an irrigation device, omental flap coverage, rifampicin-soaked prosthetic graft, and sufficient antibiotics administration. There were 3 in-hospital mortalities; however, no infection- or procedure-related adverse events were observed in other cases during the mid-term follow-up period.
真菌性主动脉瘤患者的手术效果仍然较差。原位重建和解剖外旁路是用于这些患者的两种主要手术选择，这两种方法都有术后并发症，分别是感染复发和主动脉残端破裂。我们对25例连续性真菌性腹主动脉瘤患者进行了原位重建，并使用冲洗装置进行广泛清创、大网膜瓣覆盖、利福平浸泡的人工血管移植以及足量使用抗生素。有3例患者在住院期间死亡；然而，在中期随访期间，其他病例未观察到与感染或手术相关的不良事件。
