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腹主动脉感染性动脉瘤

Infected aneurysms of the abdominal aorta.

作者信息

Scher L A, Brener B J, Goldenkranz R J, Alpert J, Brief D K, Parsonnet V, Tiro A C

出版信息

Arch Surg. 1980 Aug;115(8):975-8. doi: 10.1001/archsurg.1980.01380080065013.

Abstract

Infected aneurysms of the abdominal aorta are relatively uncommon, but potentially lethal if improperly managed. Two case reports emphasize the importance of the preoperative aortogram for accurate diagnosis. We stress the principles of total excision of infected tissue and revascularization in uninfected tissue planes. A useful vascular reconstructive technique consisting of unilateral axillofemoral bypass and an ilioiliac anastomosis was used in both patients.

摘要

腹主动脉感染性动脉瘤相对少见,但处理不当可能致命。两例病例报告强调了术前主动脉造影对准确诊断的重要性。我们强调彻底切除感染组织并在未感染组织平面进行血管重建的原则。两名患者均采用了一种有用的血管重建技术,即单侧腋股旁路移植术和髂髂吻合术。

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