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感染性主动脉冠状动脉静脉移植物缝合线裂开。升主动脉晚期假性动脉瘤的病因。

Dehiscence of infected aortocoronary vein graft suture lines. Cause of late pseudoaneurysm of ascending aorta.

作者信息

Smith P, Qureshi S, Yacoub M H

出版信息

Br Heart J. 1983 Aug;50(2):193-5. doi: 10.1136/hrt.50.2.193.

DOI:10.1136/hrt.50.2.193
PMID:6603858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481395/
Abstract

Two cases are described of late pseudoaneurysm of the ascending aorta caused by dehiscence of infected aortocoronary vein graft suture lines. Both cases were associated with early postoperative Staphylococcus aureus superficial wound infection. This complication should be suspected in patients developing protracted wound infections after operation, particularly when associated with rigors.

摘要

本文描述了2例因感染性主动脉冠状动脉静脉移植缝线处裂开导致升主动脉迟发性假性动脉瘤的病例。这2例均与术后早期金黄色葡萄球菌表浅伤口感染有关。对于术后出现持续性伤口感染，尤其是伴有寒战的患者，应怀疑有这种并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5b/481395/eead817f495b/brheartj00140-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5b/481395/664a951c7655/brheartj00140-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5b/481395/eead817f495b/brheartj00140-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5b/481395/664a951c7655/brheartj00140-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5b/481395/eead817f495b/brheartj00140-0086-b.jpg

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本文引用的文献

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2
Left ventricular pseudoaneurysm secondary to infection after coronary bypass surgery.冠状动脉搭桥术后感染继发左心室假性动脉瘤。
Chest. 1981 Jan;79(1):100-2. doi: 10.1378/chest.79.1.100.
3
Complications of cannulation of the ascending aorta for open heart surgery.心脏直视手术升主动脉插管的并发症。
表现为纵隔肿块的大隐静脉移植血管假性动脉瘤
Tex Heart Inst J. 1990;17(2):129-32.
4
Leaking false aneurysm of right coronary saphenous vein graft; successful treatment by percutaneous coil embolisation.右冠状动脉大隐静脉移植血管假性动脉瘤破裂；经皮弹簧圈栓塞术成功治疗
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Thorax. 1970 Sep;25(5):604-7. doi: 10.1136/thx.25.5.604.
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