Multiple mycotic arch-thoraco-abdominal aortic aneurysms: a successful case of in situ graft replacement.
Multiple mycotic arch-thoraco-abdominal aortic aneurysms: a successful case of in situ graft replacement.
复制标题
多发性真菌性弓胸腹主动脉瘤：原位移植物置换的成功案例。
DOI：
10.1016/s1010-7940(99)00362-0
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
H. Takano
中科院分区：
文献类型：
--
作者：
S. Kuki;K. Taniguchi;S. Miyagawa;H. Takano
肌层主动脉瘤是一种罕见的但仍然危及生命的病理。我们报告一个67岁的男性谁有持续发烧和背痛。对比增强计算机断层扫描（CT）显示位于主动脉弓、降胸主动脉和腹腔上腹主动脉的多个主动脉瘤。抗生素治疗2个月后，间隔2周进行分期手术，包括象鼻法主动脉弓置换术和大网膜转移法胸腹主动脉置换术。术后过程顺利。就多发性和位置而言，此病例似乎相当罕见。这种病理手术策略进行了讨论。
Mycotic aortic aneurysms are an uncommon yet still life-threatening pathology. We report on a 67-year-old male who had a persistent fever and back pain. Contrast enhanced computed tomography (CT) showed multiple aortic aneurysms located in the aortic arch, the descending thoracic aorta and the supraceliac abdominal aorta. After 2 months of antibiotic therapy, a staged operation was carried out with 2-week interval, which includes a graft replacement of aortic arch with elephant trunk technique and a graft replacement of thoraco-abdominal aorta with omental transfer. The postoperative course was uneventful. This case seems to be quite rare in terms of multiplicity and location of mycotic aneurysms. Surgical strategy for this pathology is discussed.