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自体筋膜腹膜组织原位重建破裂性感染性髂动脉瘤:1 例报告及文献复习。

In situ reconstruction of ruptured mycotic iliac artery aneurysm with autologous fascial-peritoneal tissue: a case report and literature review.

机构信息

Department of Vascular Surgery, YanTai Yuhuangding Hospital, No. 20, Yuhuangding East Road, YanTai, ShanDong, 264000, China.

出版信息

BMC Surg. 2022 Feb 26;22(1):70. doi: 10.1186/s12893-022-01523-0.

Abstract

BACKGROUND

Infectious aneurysms are rare in clinic with poor therapeutic outcomes. When artery rupture occurs, the disease tends to progress resulting in a high mortality, and there remains no ideal treatment.

CASE PRESENTATION

We report a case of rupture of infectious iliac artery pseudoaneurysm, who was assigned to receive artery reconstruction with autologous fascial-peritoneal tissue and obtained satisfied short-term outcome. The follow-up of 6 months after operation was good and long-term follow-up is continuing.

CONCLUSION

The posterior rectus fascia-peritoneal layer seems to be a feasible autologous biomaterial for vascular substitution in urgent setting when no other autologous material was available.

摘要

背景

感染性动脉瘤在临床上较为罕见,治疗效果较差。当动脉破裂时,疾病往往会进展,导致高死亡率,目前尚无理想的治疗方法。

病例介绍

我们报告了一例感染性髂动脉假性动脉瘤破裂的病例,该患者接受了自体筋膜-腹膜组织的动脉重建,获得了满意的短期效果。术后 6 个月随访良好,正在进行长期随访。

结论

当没有其他自体材料可用时,后直肌筋膜-腹膜层似乎是一种可行的自体生物材料,可用于紧急情况下的血管替代。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d59/8882294/96deef841959/12893_2022_1523_Fig1_HTML.jpg

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