Motte S, Wautrecht J C, Bellens B, Vincent G, Dereume J P, Delcour C
Infectious Diseases Unit, Erasme Hospital, University of Brussels, Belgium.
J Cardiovasc Surg (Torino). 1987 Nov-Dec;28(6):734-6.
The authors report a case of infected false aneurysm that developed after carotid endarterectomy with vein patch angioplasty. This complication is extremely rare and occurs most commonly when a Dacron patch graft has been employed. Various clinical presentations are described and the etiology of infection is discussed. Surgical management consisted of the resection of the pseudoaneurysm and segmental replacement with vein. Parenteral antibiotic therapy was given for three weeks and topical irrigation with an antiseptic solution performed for two weeks.
作者报告了一例在颈动脉内膜切除术联合静脉补片血管成形术后发生的感染性假性动脉瘤病例。这种并发症极为罕见，最常发生在使用涤纶补片移植的情况下。文中描述了各种临床表现并讨论了感染的病因。手术治疗包括切除假性动脉瘤并用静脉进行节段性置换。给予了三周的胃肠外抗生素治疗，并进行了两周的局部防腐溶液冲洗。
