Berdat P A, Malinverni R, Kipfer B, Carrel T P
Clinic for Thoracic and Cardiovascular Surgery and Medical Policlinic, University Hospital of Berne (Inselspital), Switzerland.
Ann Thorac Surg. 1998 Nov;66(5):1818-9. doi: 10.1016/s0003-4975(98)00920-5.
Treatment of a rare Streptococcus pneumoniae mycotic aneurysm by homograft replacement failed in a 59-year-old patient because of persistent lobar pneumonia. Despite reoperation with replacement of the infected homograft by a fresh one, he finally died of septicemia. This case illustrates that homograft tissue may be infected per continuum and that extensive debridement of periaortic tissue-including major lung resection-and the use of muscle flaps may be necessary in certain circumstances.
一名59岁患者因持续性大叶性肺炎，采用同种异体移植置换术治疗罕见的肺炎链球菌霉菌性动脉瘤失败。尽管再次手术用新鲜的同种异体移植置换了受感染的同种异体移植，但他最终死于败血症。该病例表明，同种异体移植组织可能会连续感染，在某些情况下，可能需要广泛切除主动脉周围组织（包括主要的肺切除术）并使用肌瓣。
