感染性髂动脉瘤伴主动脉腔静脉瘘。
Infected iliac artery aneurysm with aortocaval fistula.
作者信息
Sasahashi Nozomu, Hamazaki Mikihisa, Asada Hidenori, Kataoka Tsuyoshi, Hamanaka Kunio, Nishiyama Kei
机构信息
Department of Emergency and Critical Care Medicine National Hospital Organization Kyoto Medical Center Kyoto Japan.
Department of Cardiovascular Surgery National Hospital Organization Kyoto Medical Center Kyoto Japan.
出版信息
Acute Med Surg. 2016 May 3;3(4):400-403. doi: 10.1002/ams2.202. eCollection 2016 Oct.
CASE
We report a case of an infected iliac artery aneurysm complicated by an aortocaval fistula.
OUTCOME
A 74-year-old-man was admitted with fever, chills, general fatigue, and appetite loss. The patient was diagnosed with an infected iliac artery aneurysm, which was controlled with antibiotics preoperatively. During hospitalization, deep vein thrombosis developed with a pulmonary embolism resulting from an aortocaval fistula. The patient was successfully operated on with autologous vein graft reconstruction.
CONCLUSION
An infected iliac artery aneurysm with aortocaval shunt has rarely been reported. We successfully treated the patient with a combination of appropriate i.v. antibiotics and surgical resection.
病例
我们报告一例感染性髂动脉瘤并发主动脉腔静脉瘘的病例。
结果
一名74岁男性因发热、寒战、全身乏力和食欲减退入院。患者被诊断为感染性髂动脉瘤，术前通过抗生素控制。住院期间，因主动脉腔静脉瘘出现深静脉血栓形成并伴有肺栓塞。患者成功接受了自体静脉移植重建手术。
结论
感染性髂动脉瘤合并主动脉腔静脉分流的病例鲜有报道。我们通过适当的静脉注射抗生素和手术切除相结合的方法成功治疗了该患者。
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