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为一名婴儿的霉菌性腹主动脉瘤结扎主动脉。

Ligation of the aorta for a mycotic abdominal aortic aneurysm in an infant.

作者信息

Zouizra Zahira, Benbakh Soukaina, Biaou Gaël, Boumzebra Drissi

机构信息

Cardiovascular Surgery Department, Mohammed VI Teaching Hospital, Marrakech, Morocco.

出版信息

SAGE Open Med Case Rep. 2018 Feb 27;6:2050313X18761309. doi: 10.1177/2050313X18761309. eCollection 2018.

DOI:10.1177/2050313X18761309
PMID:29511545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5833237/
Abstract

Mycotic aortic aneurysms are exceedingly uncommon in infants and they have a high risk of rupture. Their surgical management is extremely challenging. We report a case of a 22-month-old girl who presented with abdominal pain and fever revealing a ruptured mycotic aneurysm of the infrarenal aorta. The surgical treatment consisted of a ligature of the proximal and distal ends of the aneurysm. Postoperative course was significant for hypertension. A year and a half follow-up showed no other complications. Limited data are available concerning our chosen technique, but the reported cases showed a good short-term outcome.

摘要

真菌性主动脉瘤在婴儿中极为罕见，且破裂风险很高。其手术治疗极具挑战性。我们报告一例22个月大女童，因腹痛和发热就诊，检查发现肾下腹主动脉真菌性动脉瘤破裂。手术治疗包括结扎动脉瘤的近端和远端。术后病程以高血压为显著特征。随访一年半未发现其他并发症。关于我们所采用技术的可用数据有限，但已报道的病例显示出良好的短期疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767d/5833237/9e328f7ace94/10.1177_2050313X18761309-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767d/5833237/6473a3a589e0/10.1177_2050313X18761309-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767d/5833237/82caff0e334f/10.1177_2050313X18761309-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767d/5833237/9e328f7ace94/10.1177_2050313X18761309-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767d/5833237/6473a3a589e0/10.1177_2050313X18761309-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767d/5833237/82caff0e334f/10.1177_2050313X18761309-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767d/5833237/9e328f7ace94/10.1177_2050313X18761309-fig3.jpg

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SAGE Open Med Case Rep. 2018 Feb 27;6:2050313X18761309. doi: 10.1177/2050313X18761309. eCollection 2018.
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本文引用的文献

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Surgical treatment of abdominal aortic aneurysms in infancy and early childhood.婴幼儿腹主动脉瘤的外科治疗
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先天性腹主动脉瘤的诊断与治疗：已报道病例的系统评价
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