Kozaki Satoshi, Miyamoto Shinji, Uchida Kaoru, Shuto Takashi, Tanaka Hideyuki, Wada Tomoyuki, Anai Hirofumi
Department of Cardiovascular Surgery, Oita University Hospital, Japan.
Department of Clinical Engineering, Oita University Faculty of Medicine, Japan.
J Cardiol Cases. 2019 Jul 8;20(3):103-105. doi: 10.1016/j.jccase.2019.06.005. eCollection 2019 Sep.
A 73-year-old man undergoing conservative management of acute aortic dissection (Stanford type B) was diagnosed with infected aortic aneurysm based on clinical findings of aortic dilatation and recurrent laryngeal nerve paralysis. We performed total aortic arch replacement with a synthetic graft and omentopexy; and was isolated from resection specimens. Infected aortic aneurysms are rare but may lead to death from aortic dissection or rupture. infection is rare and has seldom been reported, and thus no treatment guidelines, including antibiotic therapy, have been established. Therefore, it is necessary to accumulate a larger number of cases of aortic aneurysm infected by . To date, there has been no reported case of infected aortic aneurysm due to . Here, we report a case of infected aortic aneurysm due to . < Infected aortic aneurysm is a life-threatening condition because of the possibility of aortic dissection and rupture. Infected aortic aneurysms are often caused by and species, and there has been no report of aortic aneurysm infected by . Regarded as a non-pathogenic intestinal bacterium, is seldom identified as a causative bacterium. In this case, dilatation of aorta progressed rapidly, requiring early surgical treatment.>.
一名正在接受急性主动脉夹层（斯坦福B型）保守治疗的73岁男性，根据主动脉扩张和喉返神经麻痹的临床表现，被诊断为感染性主动脉瘤。我们采用人工血管进行了全主动脉弓置换术并进行了网膜固定术；并且从切除标本中分离出了[未提及的某种物质或细菌]。感染性主动脉瘤很少见，但可能导致主动脉夹层或破裂死亡。[未提及的某种感染]很罕见，很少有报道，因此尚未建立包括抗生素治疗在内的治疗指南。因此，有必要积累更多由[未提及的某种物质或细菌]感染的主动脉瘤病例。迄今为止，尚无因[未提及的某种物质或细菌]导致感染性主动脉瘤的报道。在此，我们报告一例因[未提及的某种物质或细菌]导致的感染性主动脉瘤病例。<感染性主动脉瘤是一种危及生命的疾病，因为存在主动脉夹层和破裂的可能性。感染性主动脉瘤通常由[未提及的某种细菌]和[未提及的某种细菌]引起，尚无因[未提及的某种物质或细菌]感染主动脉瘤的报道。[未提及的某种细菌]被视为一种非致病性肠道细菌，很少被确定为致病菌。在本病例中，主动脉扩张进展迅速，需要早期手术治疗。>
