Minohara S, Sasaki S, Asada K, Kondo K, Hasegawa S, Takeuchi A
Department of Thoracic Surgery, Osaka Medical College, Japan.
Kyobu Geka. 1994 Sep;47(10):851-3.
Primary mycotic aneurysm of the thoracic aorta has rarely been reported. The patient was a 61-year-old male who had a ruptured mycotic aneurysm of the descending thoracic aorta without any evidence of infectious disorders in his history. The patient developed esophageal perforation after graft replacement of the descending thoracic aorta. After continuous irrigation of the left pleural cavity and the mediastinum for one month, the thoracic esophagus was resected and reconstructed. However, the patient died of DIC following uncontrolled sepsis on the 98th postoperative day. Pathogenesis of the esophageal perforation and operative procedures that might have been effective in saving the patient were discussed.
胸主动脉原发性真菌性动脉瘤鲜有报道。该患者为一名61岁男性，患有胸降主动脉破裂性真菌性动脉瘤，其病史中无任何感染性疾病证据。该患者在胸降主动脉移植置换术后发生食管穿孔。在对左胸腔和纵隔持续冲洗一个月后，切除并重建了胸段食管。然而，患者在术后第98天因败血症失控并发弥散性血管内凝血死亡。文中讨论了食管穿孔的发病机制以及可能有效挽救患者的手术方法。
