Yumoto Keita, Hattori Takashi, Hasegawa Hideomi, Matsushita Akihito, Saitou Fumie, Mihara Wahei
Department of Cardiovascular Surgery, Seikeikai Chiba Medical Center, Chiba, Chiba, Japan.
Ann Vasc Dis. 2023 Sep 25;16(3):230-233. doi: 10.3400/avd.cr.23-00006.
An 81-year-old Japanese man who had distal aortic arch dilatation at age 77 had thoracic endovascular aortic surgery. The patient developed a fever and was taken to the hospital. Reduced diffusion in the descending aortic wall along the stent graft was discovered using whole-body diffusion-weighted imaging with background body signal suppression, and stent-graft infection was identified. The 16S ribosomal RNA gene analysis and blood culture results identified as the etiological bacterial species. The patient was released from the hospital after 6 weeks of antibiotic treatment since the swelling and inflammatory response had decreased.
一名81岁的日本男性在77岁时出现主动脉弓远端扩张,接受了胸段血管腔内主动脉手术。患者发热后被送往医院。使用背景体信号抑制的全身扩散加权成像发现降主动脉壁沿支架移植物处扩散减低,并确定为支架移植物感染。16S核糖体RNA基因分析和血培养结果确定了病原菌种类。经过6周的抗生素治疗,肿胀和炎症反应减轻,患者出院。