Srinivasa Ravi N, Srinivasa Rajiv N, Zhao Sara, Gemmete Joseph J, Bundy Jacob, Chick Jeffrey F B
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109.
Radiol Case Rep. 2017 Nov 2;13(1):121-124. doi: 10.1016/j.radcr.2017.10.013. eCollection 2018 Feb.
Mycotic aneurysms, which may occur anywhere in the body, may be prone to spontaneous rupture. Antibiotic therapy combined with surgical debridement without or with revascularization has been described as potential treatment options. This report describes a combined balloon occlusion technique with the injection of ethylene-vinyl alcohol copolymer for the treatment of a mycotic aneurysm of the pulmonary artery secondary to infective endocarditis. Similar techniques have been described in the cerebral circulation and may obviate concerns for coil erosion, non-target embolization, or superinfection.
真菌性动脉瘤可发生于身体的任何部位，且可能易于自发破裂。抗生素治疗联合手术清创（无论有无血管重建）已被描述为潜在的治疗选择。本报告描述了一种联合球囊闭塞技术并注入乙烯 - 乙烯醇共聚物用于治疗感染性心内膜炎继发的肺动脉真菌性动脉瘤。类似技术已在脑循环中有所描述，且可能消除对线圈侵蚀、非靶栓塞或重复感染的担忧。
