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儿童无名动脉假性动脉瘤需行气管软骨修复术

Innominate Artery Pseudoaneurysm Requiring Cartilage Tracheal Repair in a Child.

作者信息

Villanueva Claudia, Sawan Elie, Gnanappa Ganesh, Ayer Julian, Birman Catherine S, Cheng Alan T, Liava'a Matthew

机构信息

Department of Cardiothoracic Surgery, The Children's Hospital at Westmead, Sydney, Australia.

Department of Cardiology, The Children's Hospital at Westmead, Sydney, Australia.

出版信息

JACC Case Rep. 2024 Apr 17;29(10):102329. doi: 10.1016/j.jaccas.2024.102329. eCollection 2024 May 15.

DOI:10.1016/j.jaccas.2024.102329
PMID:38682004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11047783/
Abstract

Mycotic aneurysms are rare but potentially catastrophic. We report a case of an innominate artery pseudoaneurysm in a 4-year-old patient that caused a tracheoinnominate fistula requiring tracheoplasty with a costal cartilage graft and a homograft iliac artery replacement of the diseased innominate artery, with a successful outcome.

摘要

真菌性动脉瘤罕见但可能是灾难性的。我们报告一例4岁患者的无名动脉假性动脉瘤,该动脉瘤导致气管无名动脉瘘,需要进行肋软骨移植气管成形术以及用同种异体髂动脉置换病变的无名动脉,结果成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/7b42dd8df041/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/3c0ad915bb2a/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/bfa88e99aa34/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/46fc068698aa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/1daa80202d3c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/9be4695d0938/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/8e140ff15b1d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/a68b11ef23e9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/7b42dd8df041/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/3c0ad915bb2a/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/bfa88e99aa34/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/46fc068698aa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/1daa80202d3c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/9be4695d0938/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/8e140ff15b1d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/a68b11ef23e9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0048/11047783/7b42dd8df041/gr7.jpg

相似文献

1
Innominate Artery Pseudoaneurysm Requiring Cartilage Tracheal Repair in a Child.儿童无名动脉假性动脉瘤需行气管软骨修复术
JACC Case Rep. 2024 Apr 17;29(10):102329. doi: 10.1016/j.jaccas.2024.102329. eCollection 2024 May 15.
2
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Repair of mycotic aneurysm of the innominate artery with homograft tissue.采用同种异体移植组织修复无名动脉霉菌性动脉瘤。
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Resection of the innominate artery to prevent an impending tracheoinnominate fistula and to permit tracheotomy in a patient with subglottic stenosis and high-riding innominate.切除无名动脉以预防即将发生的气管无名动脉瘘,并使一名声门下狭窄且无名动脉位置偏高的患者能够进行气管切开术。
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本文引用的文献

1
Hybrid surgery for a severe infectious innominate artery pseudoaneurysm compressing the main trachea.针对压迫主气管的严重感染性无名动脉假性动脉瘤的杂交手术。
J Int Med Res. 2020 Oct;48(10):300060520965843. doi: 10.1177/0300060520965843.
2
Intraoperative rupture of tuberculous pseudoaneurysm associated with spinal tuberculosis: A case report and literature review.脊柱结核相关结核性假性动脉瘤术中破裂:一例报告及文献复习
J Infect Dev Ctries. 2019 Feb 28;13(2):174-178. doi: 10.3855/jidc.10707.
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Innominate artery aneurysm, how to solve it?
无名动脉瘤,如何解决?
J Int Med Res. 2017 Jun;45(3):1279-1284. doi: 10.1177/0300060517711087. Epub 2017 May 28.
4
Vascular Graft Infections, Mycotic Aneurysms, and Endovascular Infections: A Scientific Statement From the American Heart Association.血管移植物感染、真菌性动脉瘤和血管内感染:美国心脏协会的科学声明
Circulation. 2016 Nov 15;134(20):e412-e460. doi: 10.1161/CIR.0000000000000457. Epub 2016 Oct 13.
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Extra-aortic mycotic aneurysm due to group A Streptococcus after pharyngitis.急性化脓性扁桃体炎后 A 组链球菌致主动脉外真菌性动脉瘤。
J Clin Microbiol. 2013 Aug;51(8):2797-9. doi: 10.1128/JCM.00897-13. Epub 2013 Jun 12.
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Clinical practice. Streptococcal pharyngitis.临床实践。链球菌性咽炎。
N Engl J Med. 2011 Feb 17;364(7):648-55. doi: 10.1056/NEJMcp1009126.
7
Clinical and microbiological characteristics of mycotic aneurysms in a medical center in southern Taiwan.台湾南部某医学中心真菌性动脉瘤的临床与微生物学特征
J Microbiol Immunol Infect. 2008 Aug;41(4):318-24.
8
Systemic complications associated with bacterial tracheitis.与细菌性气管炎相关的全身并发症。
Arch Dis Child. 1996 Mar;74(3):249-50. doi: 10.1136/adc.74.3.249.
9
Group A Streptococcus septicemia and an infected, ruptured abdominal aortic aneurysm associated with pharyngitis.A组链球菌败血症以及与咽炎相关的感染性、破裂性腹主动脉瘤。
Clin Infect Dis. 1992 Sep;15(3):525-7. doi: 10.1093/clind/15.3.525.