因……导致的感染性假性动脉瘤采用长期抗生素治疗的成功血管内治疗：病例报告
Successful endovascular treatment with long-term antibiotic therapy for infectious pseudoaneurysm due to : A case report.
作者信息
Wang Tie-Hao, Zhao Ji-Chun, Huang Bin, Wang Jia-Rong, Yuan Ding
机构信息
Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610000, Sichuan Province, China.
出版信息
World J Clin Cases. 2020 Dec 26;8(24):6529-6536. doi: 10.12998/wjcc.v8.i24.6529.
BACKGROUND
Infectious common femoral artery pseudoaneurysm caused by pulmonary infection is a relatively infrequent entity but is potentially life and limb threatening. The management of infectious pseudoaneurysm remains controversial.
CASE SUMMARY
We reported a 79-year-old man with previous pulmonary infection and multiple comorbidities who presented with a progressive pulsate mass at the right groin and with right lower limb pain. Computed tomography angiography showed a 6 cm × 6 cm × 9 cm pseudoaneurysm of the right common femoral artery accompanied by occlusion of the right superficial femoral artery and deep femoral artery. He underwent endovascular treatment (EVT) with stent-graft, and etiology of infectious pseudoaneurysm was confirmed. Then, 3-mo antibiotic therapy was given. One-year follow-up showed the stent-graft was patent and complete removal of surrounding hematoma.
CONCLUSION
The femoral artery pseudoaneurysm can be caused by deriving from the pulmonary infection. Moreover, this unusual case highlights the use of EVT and prolonged antibiotic therapy for infectious pseudoaneurysm.
背景
由肺部感染引起的感染性股总动脉假性动脉瘤相对少见，但有危及生命和肢体的潜在风险。感染性假性动脉瘤的治疗仍存在争议。
病例摘要
我们报告了一名79岁男性，既往有肺部感染及多种合并症，因右腹股沟区逐渐增大的搏动性肿块及右下肢疼痛就诊。计算机断层血管造影显示右股总动脉有一个6 cm×6 cm×9 cm的假性动脉瘤，同时右股浅动脉和股深动脉闭塞。他接受了带覆膜支架的血管腔内治疗（EVT），并确诊为感染性假性动脉瘤。随后，给予了3个月的抗生素治疗。1年随访显示带覆膜支架通畅，周围血肿完全吸收。
结论
股动脉假性动脉瘤可由肺部感染引起。此外，这个不寻常的病例凸显了血管腔内治疗和延长抗生素治疗在感染性假性动脉瘤中的应用。
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