Tsujimoto Takanori, Matsumori Masamichi, Yamanaka Katsuhiro, Okada Kenji
Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
J Vasc Surg Cases Innov Tech. 2022 Jul 18;8(3):510-513. doi: 10.1016/j.jvscit.2022.06.017. eCollection 2022 Sep.
A 74-year-old man who had been receiving antibiotic treatment for meningitis was transferred to our hospital because of a sudden decrease in lower limb blood pressure. Computed tomography revealed a type B aortic dissection with obstruction of the abdominal aorta. Furthermore, transesophageal echocardiography revealed a large vegetation on the proximal entry tear of the descending aorta. We performed successful emergency descending and abdominal aorta replacement, which prevented complications from intraoperative organ malperfusion. In the present report, we have described an effective treatment for lower limb malperfusion complicated by a combination of chronic aortic dissection and bacteremia.
一名74岁男性因脑膜炎接受抗生素治疗，因下肢血压突然下降被转至我院。计算机断层扫描显示为B型主动脉夹层，腹主动脉阻塞。此外，经食管超声心动图显示降主动脉近端入口撕裂处有一个大的赘生物。我们成功进行了急诊降主动脉和腹主动脉置换术，避免了术中器官灌注不良的并发症。在本报告中，我们描述了一种治疗慢性主动脉夹层合并菌血症所致下肢灌注不良的有效方法。
