Matsumoto Ryota, Shimamura Kazuo, Kuratani Toru, Masada Kenta, Yokota Junki, Sawa Yoshiki
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Minimally Invasive Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
J Vasc Surg Cases Innov Tech. 2021 Mar 5;7(2):286-290. doi: 10.1016/j.jvscit.2021.02.014. eCollection 2021 Jun.
We present the case of a patient with a graft-duodenal fistula after renovisceral debranching thoracic endovascular aortic repair. F-fluorodeoxyglucose positron emission tomography with computed tomography showed that the infection was localized to the renovisceral bypass grafts and the right kidney. Based on the preoperative imaging findings, a limited surgery with resection was performed in the fistula, right kidney, and fluorodeoxyglucose-positive bypass grafts, while preserving the fluorodeoxyglucose-negative grafts. No signs of reinfection were reported 2 years after the surgery. Accurate assessment of infection with F-fluorodeoxyglucose positron emission tomography with computed tomography may be useful for performing adequate excision of infected lesions.
我们报告了一例患者，其在胸腹主动脉去分支血管腔内修复术后发生了移植血管 - 十二指肠瘘。氟脱氧葡萄糖正电子发射断层扫描计算机断层扫描显示感染局限于胸腹主动脉旁路移植血管和右肾。根据术前影像学检查结果，对瘘管、右肾和氟脱氧葡萄糖阳性的旁路移植血管进行了有限的切除手术，同时保留了氟脱氧葡萄糖阴性的移植血管。术后2年未报告再次感染的迹象。氟脱氧葡萄糖正电子发射断层扫描计算机断层扫描对感染的准确评估可能有助于对感染病灶进行充分切除。
