Jorgensen Matthew S, Obi Jonathan, Nussbaum Samuel, Ritchie Charles, Hakaim Albert G, Farres Houssam
Division of Vascular Surgery, Department of Surgery, Mayo Clinic, Jacksonville, Fla.
Division of Interventional Radiology, Department of Radiology, Mayo Clinic, Jacksonville, Fla.
J Vasc Surg Cases Innov Tech. 2020 Sep 2;6(4):690-693. doi: 10.1016/j.jvscit.2020.08.014. eCollection 2020 Dec.
The management of an infected endovascular aortic stent graft can be complex and morbid. Therefore, caution should be exercised before an endovascular approach is considered in patients presenting with a saccular aneurysm who are younger than 65 years and without risk factors for this may indicate a mycotic aneurysm. An open approach with consideration of aneurysm excision should be entertained to prevent an endovascular implantation in the setting of an infected aorta. We report a case of endovascular aortic stent graft infection that led to complex surgical management and prolonged postoperative care.
感染性血管内主动脉覆膜支架的处理可能复杂且预后不佳。因此，对于年龄小于65岁且无危险因素的囊状动脉瘤患者，在考虑采用血管内治疗方法前应谨慎，因为这可能提示为霉菌性动脉瘤。应考虑采用开放手术切除动脉瘤，以避免在感染性主动脉情况下进行血管内植入。我们报告一例血管内主动脉覆膜支架感染病例，该病例导致了复杂的手术处理及术后长时间的护理。
