Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, China.
Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, China.
Surgery. 2024 Aug;176(2):531-534. doi: 10.1016/j.surg.2024.04.032. Epub 2024 Jun 4.
We aimed to analyze the feasibility of endovascular treatment for brucellosis-related aorta-iliac artery pseudoaneurysm. We did a statistical analysis that among the 11 cases, the thoracic aorta was involved in 3 cases, the abdominal aorta was involved in 6 cases, and the iliac artery was involved in 2 cases. Five patients had a history of contact with cattle and sheep, 3 had a history of drinking raw milk, 10 patients had a fever before the operation, and 11 patients had positive serum agglutination test. Blood culture was positive in 2 patients. All patients were given anti-brucellosis treatment immediately after diagnosis. One died of aortic rupture 5 days after emergency endovascular gastrointestinal bleeding. Endovascular-covered stent implantation and active anti-brucellosis therapy were used to treat 10 patients. The follow-up period was 8 years without aortic complications or death for all patients. We think early diagnosis and a combination of anti-brucellosis drugs and endovascular therapy may be the first choice for treating the pseudoaneurysm caused by Brucella.
我们旨在分析腔内治疗布鲁氏菌相关的主动脉-髂动脉假性动脉瘤的可行性。我们进行了一项统计分析，在 11 例患者中，3 例累及胸主动脉，6 例累及腹主动脉，2 例累及髂动脉。5 例有接触牛、羊的病史，3 例有饮用生奶的病史，10 例在手术前有发热，11 例血清凝集试验阳性。2 例患者血培养阳性。所有患者确诊后均立即给予抗布鲁氏菌治疗。1 例患者在急诊行内镜下止血后第 5 天死于主动脉破裂。10 例患者采用覆膜支架腔内植入和积极抗布鲁氏菌治疗。所有患者的随访时间为 8 年，均无主动脉并发症或死亡。我们认为早期诊断和抗布鲁氏菌药物联合腔内治疗可能是治疗布鲁氏菌引起的假性动脉瘤的首选方法。
