Department of Vascular Surgery, Changhai Hospital, Navy Medical University, Changhai Road 168#, Yangpu District, Shanghai, China.
Department of Vascular Surgery, the First Affiliated Hospital of the Medical School of Zhejiang University, Hangzhou, China.
BMC Cardiovasc Disord. 2020 Sep 7;20(1):406. doi: 10.1186/s12872-020-01694-9.
Infectious aortic aneurysm, defined as a focal dilation of an infectious arterial wall, is an uncommon life-threatening disease. Compared with open surgery, endovascular repair yields acceptable clinical outcomes. However, residual tissue infection may increase the risk of secondary intervention. Here, we present a successful case of endovascular repair combined with staged drainage for the treatment of infectious aortic aneurysm.
A 58-year-old man presented to hospital with a 3-day history of lower back pain radiating to the back associated with fever. The dynamic imaging characteristics revealed rapid progress of infectious abdominal aortic aneurysm with negative blood culture. The patient underwent endovascular repair and salmonella enteritidis was identified through drain culture.
Endovascular procedure and staged drainage can be feasible and effective option in selected cases.
感染性主动脉瘤定义为感染性动脉壁的局部扩张，是一种罕见的危及生命的疾病。与开放手术相比，血管内修复可获得可接受的临床结果。然而，残留的组织感染可能会增加再次介入的风险。在这里，我们报告了一例成功的感染性主动脉瘤的血管内修复联合分期引流治疗的病例。
一名 58 岁男性因腰痛 3 天放射至背部伴发热就诊。动态影像学特征显示感染性腹主动脉瘤迅速进展，血培养阴性。患者接受了血管内修复，引流培养出肠炎沙门氏菌。
在选择的病例中，血管内手术和分期引流可能是可行和有效的选择。
