Tang Yangfeng, Han Lin, Fan Xinli, Zhang Boyao, Zhang Jiajun, Xue Qin, Xu Zhiyun
Department of Cardiothoracic Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, China.
Interact Cardiovasc Thorac Surg. 2020 Apr 1;30(4):620-622. doi: 10.1093/icvts/ivz318.
This study aimed to report the case of 7 consecutive patients who underwent surgical treatment for aortic endograft infection after thoracic endovascular aortic repair (TEVAR). The management included the reconstruction of aorta using extra-anatomic prosthetic graft bypass (between the ascending aorta and the abdominal aorta), removal of the infected endograft with debridement of the infected tissue and sac drainage, followed by prolonged antibiotic therapy. This brief communication highlights that the reconstruction of aorta using extra-anatomic prosthetic graft bypass during surgical treatment for aortic endograft infection after TEVAR was reliable and effective.
本研究旨在报告7例连续患者的病例,这些患者在胸主动脉腔内修复术(TEVAR)后因主动脉内移植物感染接受了手术治疗。治疗措施包括使用解剖外人工血管旁路(在升主动脉和腹主动脉之间)重建主动脉,移除感染的内移植物并清除感染组织及进行囊腔引流,随后进行长期抗生素治疗。本简短通讯强调,在TEVAR后主动脉内移植物感染的手术治疗中,使用解剖外人工血管旁路重建主动脉是可靠且有效的。