Zekhnini Ines, Halleux Danae, Durieux Rodolphe, Defraigne Jean Olivier, Radermecker Marc, Tchana-Sato Vincent
Department of Cardiovascular Surgery, CHU Liege, Liège, Belgium.
Acta Cardiol. 2022 Sep;77(7):643-646. doi: 10.1080/00015385.2021.1973774. Epub 2021 Sep 5.
Ascending aorta mycotic aneurysm is a rare entity. It is a life-threatening condition because of the possibility of aortic dissection, or rupture. is recognised as an uncommon cause of aortic mycotic aneurysm. An 81-year-old woman with a history of pyelonephritis 4 months previously, was admitted to our centre for a mycotic aneurysm of the ascending aorta caused by . She was successfully treated by urgent replacement of the ascending aorta with a cryopreserved homograft, combined with antibiotics. Although infrequent, mycotic aneurysm should be suspected in older patients with atherosclerosis and who developed septicaemia. Prompt treatment with a combination of appropriate antibiotics and surgery is required.
升主动脉霉菌性动脉瘤是一种罕见的病症。它是一种危及生命的疾病，因为存在主动脉夹层或破裂的可能性。被认为是主动脉霉菌性动脉瘤的一种不常见病因。一名81岁女性，4个月前有肾盂肾炎病史，因[具体病因未提及]导致的升主动脉霉菌性动脉瘤入住我们中心。她通过紧急用低温保存的同种异体移植物置换升主动脉并联合使用抗生素成功得到治疗。尽管不常见，但对于患有动脉粥样硬化且发生败血症的老年患者，应怀疑有霉菌性动脉瘤。需要联合使用适当的抗生素和手术进行及时治疗。
