Raschke R, Raupp J, Göttmann D, Husfeldt K J
Chirurgische Abteilung Diakonissenkrankenhaus Karlsruhe-Rüppurr.
Vasa. 1996;25(3):287-91.
A 43-year-old woman was admitted with peripheral arterial occlusive disease (PAD), pelvis-type. The angiography showed a high-grade stenosis of the aortal bifurcation. A percutaneous transluminal angioplasty (PTA) in "kissing-balloon-technique" was performed. After 7 days the patient developed a sepsis with distinct back-pain. The ultrasound-B-scan and CT-scan of the abdomen showed the development of an infrarenal aortic aneurysm during a period of 29 days. Bacterial infection of the aorta was considered to be the reason of development of the aneurysm occurred. Immediate antibiotic therapy got the patient afebrile after 14 days. We implanted an aortobiiliacal Dacron graft 2 weeks later. The follow-up time was without complications except for two thrombotic occlusions of the graft after 4 and 19 months. Thrombectomy was carried out in both cases without complications.
一名43岁女性因骨盆型外周动脉闭塞性疾病（PAD）入院。血管造影显示主动脉分叉处高度狭窄。采用“亲吻球囊技术”进行了经皮腔内血管成形术（PTA）。7天后，患者出现败血症并伴有明显背痛。腹部超声B超和CT扫描显示在29天内出现了肾下腹主动脉瘤。主动脉细菌感染被认为是动脉瘤发生的原因。立即进行抗生素治疗，14天后患者体温恢复正常。两周后我们植入了主动脉双髂部涤纶移植物。随访期间除4个月和19个月后移植物出现两次血栓闭塞外无并发症。两例均进行了血栓切除术，无并发症发生。
