Soderstrom C A, Wasserman D H, Ransom K J, Caplan E S, Cowley R A
J Cardiovasc Surg (Torino). 1983 Jan-Feb;24(1):63-8.
Six patients who developed infected false femoral artery aneurysms secondary to monitoring catheters are reported. All aneurysms were infected and resulted in systemic sepsis. Initially the origin of the sepsis was not obvious. Findings which suggest this lesion include staphylococci. Appearance of distal petechial hemorrhages should lend a strong suspicion to the possibility of the lesion. Appearance of the pulsatile groin mass completes the diagnosis. Only aneurysmal resection combined with appropriate antimicrobial therapy is curative. For necessary revascularization procedures, autogenous vein grafts should be used when available.
本文报告了6例因监测导管继发感染性股动脉假性动脉瘤的患者。所有动脉瘤均发生感染并导致全身性败血症。最初,败血症的来源并不明显。提示该病变的发现包括葡萄球菌。远端瘀点出血的出现应高度怀疑该病变的可能性。搏动性腹股沟肿块的出现可确诊。只有动脉瘤切除术联合适当的抗菌治疗才具有治愈性。对于必要的血管重建手术,如有可用的自体静脉移植物,应优先使用。