Petrunić Mladen, Perkov Dražen, Meštrović Tomislav, Halužan Damir, Tomić Mahečić Tina
Department of Surgery, University Hospital Center Zagreb - "Rebro", Zagreb, Croatia.
Department of Radiology, University Hospital Center Zagreb - "Rebro", Zagreb, Croatia.
Ann Vasc Surg. 2019 Apr;56:350.e5-350.e8. doi: 10.1016/j.avsg.2018.07.055. Epub 2018 Oct 2.
We report a patient who was initially treated for a suprarenal mycotic aortic aneurysm. The aneurysm repair was performed using a cryopreserved arterial homograft and debranching of visceral arteries. Five years later, the patient was referred due to a large symptomatic false aneurysm at the distal homograft anastomosis. Endovascular repair was indicated and performed using a bifurcated Medtronic composite stent graft. The procedure was uneventful, while control angiography showed complete exclusion of the false aneurysm. Within 6 months of follow-up, the endograft showed favorable position and maintained patency with no signs of endoleaks. We discuss the role of the cryopreserved homografts for in situ repair of mycotic aortic aneurysms and comment on possible late complications after placing those grafts.
我们报告了一名最初接受肾上腺霉菌性主动脉瘤治疗的患者。使用冷冻保存的动脉同种异体移植物和内脏动脉去分支进行了动脉瘤修复。五年后，患者因同种异体移植物远端吻合处出现巨大有症状的假性动脉瘤而前来就诊。考虑进行血管内修复，并使用美敦力分叉复合支架移植物进行了手术。手术过程顺利，对照血管造影显示假性动脉瘤完全被隔绝。在随访的6个月内，血管内移植物位置良好，保持通畅，无内漏迹象。我们讨论了冷冻保存的同种异体移植物在霉菌性主动脉瘤原位修复中的作用，并对植入这些移植物后可能出现的晚期并发症进行了评论。
