冠状动脉血运重建术后升主动脉霉菌性动脉瘤

Mycotic aneurysm of the ascending aorta after coronary revascularization.

作者信息

Follis F M, Paone R F, Wernly J A

机构信息

Department of Thoracic and Cardiovascular Surgery, University of New Mexico, Albuquerque 87131.

出版信息

Ann Thorac Surg. 1994 Jul;58(1):236-8. doi: 10.1016/0003-4975(94)91112-6.

DOI:10.1016/0003-4975(94)91112-6

PMID:8037536

Abstract

A mycotic aneurysm developed at the aortic cannulation site after coronary revascularization and subsequent mediastinitis. Treatment required hypothermic circulatory arrest and patch repair. Review of the literature revealed 40 cases, 11 after various open heart procedures and 10 after either heart or heart and lung transplantation. Postoperative mediastinitis was present in 12. Nine of 12 patients operated on electively survived, versus 4 of 10 who had rupture. Mycotic aneurysms of the ascending aorta are rare but do occur after heart operations, especially in transplant patients.

摘要

冠状动脉血运重建及随后发生纵隔炎后，在主动脉插管部位出现了霉菌性动脉瘤。治疗需要低温循环停止和补片修复。文献回顾显示有40例病例，11例发生于各种心脏直视手术后，10例发生于心脏或心肺移植后。12例存在术后纵隔炎。12例择期手术患者中有9例存活，而10例发生破裂的患者中有4例存活。升主动脉霉菌性动脉瘤罕见，但确实会在心脏手术后发生，尤其是在移植患者中。