頁籤選單縮合
題名 | Extra-Anatomic Reconstruction for Infected Aorta=使用非原位血管重建手術治療主動脈感染 |
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作者 | 洪國峻; 林致源; 李中毅; 陽厚生; 羅時鴻; 蔡建松; Hong, Gou-jieng; Lin, Chih-yuan; Lee, Chung-yi; Yang, Hou-sheng; Loh, Shin-hurng; Tsai, Chien-sung; |
期刊 | Journal of Medical Sciences |
出版日期 | 20030800 |
卷期 | 23:4 2003.08[民92.08] |
頁次 | 頁207-212 |
分類號 | 416.263 |
語文 | eng |
關鍵詞 | 非原位血管重建手術; 主動脈感染; Extra-anatomic reconstruction; Infected aorta; Mycotic aneurysm; |
英文摘要 | Background: Mycotic aneurysms are rare in this age of antibiotic. But, they still represent as the life-threatening disease because of their high incidence of rupture and high rate of re-infection. Treatment of mycotic aortic aneurysm still remains confusing, especially in patients with severe aortic infection. Methods: From Oct. 1999 to Sep. 2002, there were 4 patients suffered from infected aorta with mycotic aneurysm formation. One was in descending thoracic aorta, 3 were in abdominal aorta. All 4 patients received the technique of extra-anatomic reconstruction due to severe periaortic invasion and preoperation impending rupture. We analyzed the data including age, gender, pre-operative characteristics, lesion location, operative procedure, complications, bacteriology, and antibiotic use. Results: The underlying infections of the aorta were treated successfully in all 4 patients. No recurrence of infected aorta and no infection of extra-anatomic prosthetic grafts were noted. Just 1 patient had neurologic sequela due to spinal artery ligation. All patients were caused by Salmonella infection. Appropriate antibiotics were given intravenously for 6 weeks. All patients discharged under stable condition. Conclusions: although surgical treatments for mycotic aneurysms include extra-anatomic and in-situ reconstructions, recurrence and prosthetic infections still make surgeon in a delimma. Our preliminary experience demonstrates that short-term outcomes of extra-anatomic reconstruction for mycotic aneurysm is satisfactory and demonstrates an improved disease-related survival. However, successful initial control of infection, a prerequisite for survival, is done with extra-anatomic reconstruction in our series. |
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