Department of Cardiology, Gülhane Training and Research Hospital, Ankara, Türkiye.
Turk Kardiyol Dern Ars. 2023 Jul;51(5):353-355. doi: 10.5543/tkda.2023.63458.
Secondary infection of the aorta is a sporadic and life-threatening disease. It is usually caused by infection and abscess in an adjacent structure. The most common mechanism for secondary aortic infection is a psoas abscess eroding the aortic wall, which rarely results in non-aneurysmal aortic rupture. Primary treatment is surgical aortic reconstruction, but the risk of emergency surgical treatment is high. Endovascular aortic stent-graft implantation can be lifesaving in this setting by stopping the bleeding. However, the crucial question of durability and late infections remains unanswered and warrants long-term antibiotic treatment and follow-up. In this report, we present a case of primary psoas abscess, which resulted in non-aneurysmal aortic rupture and its endovascular treatment.
主动脉继发感染是一种散发性的、危及生命的疾病。它通常由邻近结构的感染和脓肿引起。继发主动脉感染的最常见机制是腰大肌脓肿侵蚀主动脉壁，很少导致非动脉瘤性主动脉破裂。主要治疗方法是主动脉重建手术，但急诊手术的风险很高。在这种情况下，血管内主动脉支架植入术可以通过止血来挽救生命。然而，耐久性和晚期感染的关键问题仍未得到解答，需要长期的抗生素治疗和随访。在本报告中，我们介绍了一例原发性腰大肌脓肿导致非动脉瘤性主动脉破裂及其血管内治疗的病例。
