Knosalla C, Weng Y, Warnecke H, Hummel M, Yankah A C, Hofmeister J, Hetzer R
Department of Cardiothoracic and Vascular Surgery, German Heart Institute Berlin, Germany.
J Heart Lung Transplant. 1996 Aug;15(8):827-39.
Mycotic aortic aneurysm is a rare yet life-threatening complication after orthotopic heart transplantation. This article reviews three cases of mycotic aortic aneurysm in heart transplant recipients developing in the first year after heart transplantation. Excision of the aneurysm and in situ reconstruction of the ascending aorta were performed with a patch of glutaraldehyde-fixed pericardium or cryopreserved aortic allograft material as a patch or conduit replacement. These cases show that early diagnosis by computed tomographic scanning, surgical treatment, high-dose parenteral antibiotics, and close follow-up are essential for successful treatment.
真菌性主动脉瘤是原位心脏移植后一种罕见但危及生命的并发症。本文回顾了3例心脏移植受者在心脏移植后第一年发生的真菌性主动脉瘤病例。采用戊二醛固定心包片或冷冻保存的主动脉同种异体移植材料作为补片或管道替代物进行动脉瘤切除及升主动脉原位重建。这些病例表明，通过计算机断层扫描早期诊断、手术治疗、大剂量静脉注射抗生素及密切随访是成功治疗的关键。
