Centro Hospital MAC Periferico Sur, Mexico City, MX.
Instituto Nacional de Cardiología "Ignacio Chávez," Mexico City, MX.
Methodist Debakey Cardiovasc J. 2022 Jul 22;18(1):62-67. doi: 10.14797/mdcvj.1094. eCollection 2022.
A 62-year-old man was admitted to the hospital due to sepsis secondary to a hemodialysis catheter-related infection that, upon diagnostic evaluation, demonstrated to be caused by and was treated with meropenem. Eradication of the infectious episode was confirmed by blood workup, including cultures. One month after the initial episode, the patient was readmitted due to a symptomatic penetrating aortic ulcer, which was classified as a cardiovascular emergency. The patient underwent an aortic stent-graft placement. Four weeks later, he presented to the emergency department with a 2-hour onset of thoracic pain and massive hematemesis. The esophagus and aortic segment with aortic stent graft were resected en bloc after an aortoesophageal fistula was diagnosed.
一位 62 岁男性因血液透析导管相关感染导致败血症而住院，经诊断评估，感染由 引起，并接受美罗培南治疗。通过血液检查（包括培养）确认感染已消除。初次发病一个月后，患者因症状性穿透性主动脉溃疡再次入院，该溃疡被归类为心血管急症。患者接受了主动脉支架置入术。四周后，他因胸痛和大量呕血就诊于急诊科，发病时间为 2 小时。诊断为食管-主动脉瘘后，整块切除了食管和带有主动脉支架的主动脉段。
