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自制心包分叉移植物用于Q热感染的腹主动脉瘤开放修复:一例报告

Homemade pericardial bifurcated graft for Q fever-infected abdominal aortic aneurysm open repair: a case report.

作者信息

Mouche A, Baron J, Toquet C, Le Corvec T, Maurel B, Benichou A, Mougin J

机构信息

Vascular Surgery, Hospital G&R Laennec-CHU Nantes, St Herblain, France.

Pathology Department, CHU Nantes, Nantes University, Nantes, France.

出版信息

Front Cardiovasc Med. 2024 May 28;11:1418949. doi: 10.3389/fcvm.2024.1418949. eCollection 2024.

Abstract

Q fever is a zoonotic infection caused by . In rare cases, it can lead to vascular complications, including infected aneurysms. Successful treatment involves surgery and antibiotics, but there is no established consensus or clear recommendation for the choice of material graft. We report a case of abdominal aortic aneurysm infected by treated by open surgery with complete resection of the aneurysm and homemade bovine pericardial bifurcated graft reconstruction and long-term antibiotherapy using doxycycline. One year postoperatively, the patient had no sign of persistent infection or vascular complication. Moreover, immunoglobulins titers decreased 6 months postoperatively.

摘要

Q热是一种由……引起的人畜共患感染。在罕见情况下,它可导致血管并发症,包括感染性动脉瘤。成功的治疗包括手术和抗生素治疗,但对于材料移植物的选择尚无既定的共识或明确的建议。我们报告一例由……感染的腹主动脉瘤病例,通过开放手术进行治疗,完全切除动脉瘤并使用自制牛心包分叉移植物重建,以及使用强力霉素进行长期抗生素治疗。术后一年,患者没有持续感染或血管并发症的迹象。此外,术后6个月免疫球蛋白滴度下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e41/11165120/c4bbdfdb1476/fcvm-11-1418949-g001.jpg

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