主动脉移植物移除的结局

Fate of aortic graft removal.

作者信息

Martin-Paredero V, Busuttil R W, Dixon S M, Baker J D, Machleder H, Moore W S

出版信息

Am J Surg. 1983 Aug;146(2):194-7. doi: 10.1016/0002-9610(83)90371-9.

Abstract

Reoperation to remove an aortic graft was performed in 18 patients. The need for removal was infection in the majority. A changing flora was seen in aortic graft infection with gram-negative organisms predominating. Despite a standardized approach with total graft removal, aortic closure, and extraanatomic reconstruction, amputation and mortality rates remain unacceptably high. A new approach to this problem is needed, and further trials with autogenous reconstruction appear warranted.

摘要

18例患者接受了移除主动脉移植物的再次手术。大多数情况下，移除移植物的原因是感染。在主动脉移植物感染中观察到菌群变化，革兰氏阴性菌占主导。尽管采用了移除全部移植物、主动脉闭合和解剖外重建的标准化方法，但截肢率和死亡率仍然高得令人无法接受。需要一种解决这个问题的新方法，自体重建的进一步试验似乎是必要的。