对一名无症状的新冠病毒检测呈阳性且患有有症状的炎性腹主动脉瘤患者进行血管内主动脉修复术。

Yammine Halim, Ballast Jocelyn K, Poulsen Neil, Arko Frank R

Carolinas Medical Center, Sanger Heart and Vascular Institute, Atrium Health, Charlotte, NC.

J Vasc Surg Cases Innov Tech. 2020 Dec;6(4):531-533. doi: 10.1016/j.jvscit.2020.08.016. Epub 2020 Sep 2.

In this report, we present the case of a COVID-19-positive patient whose symptomatic inflammatory abdominal aortic aneurysm was successfully treated with endovascular aortic repair at our institution. We discuss the reasoning behind the type of therapy used and the various lessons learned. Based on our experience with this patient, we recommend an endovascular approach for similar COVID-19 patients and suggest a prophylactic dose of enoxaparin (Lovenox; 40 mg daily) postoperatively for 14 days.

在本报告中，我们介绍了一名新冠肺炎阳性患者的病例，该患者患有有症状的炎性腹主动脉瘤，在我们机构通过血管腔内主动脉修复术成功治愈。我们讨论了所采用治疗方法背后的推理以及吸取的各种经验教训。基于我们对该患者的经验，我们建议对类似的新冠肺炎患者采用血管腔内治疗方法，并建议术后预防性使用依诺肝素（速碧林；每日40毫克），持续14天。