大动脉根伪动脉瘤:一个病例报告和文献综述
Pravinthiran Manokaran1, Sivakumar Krishnasamy2, Raja Rizal Azman Bin Raja Aman3
1Department of Cardiology, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Indian journal of thoracic and cardiovascular surgery
|December 21, 2023
概括
大动脉根的伪动脉瘤,通常是由感染引起的,是罕见但严重的. 对这些疾病而言,手术干预提供了比医疗治疗更好的结果,这些疾病通常影响有心脏手术史的中年男性.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 大动脉根的伪动脉瘤是罕见的心血管紧急情况.
- 传染性内心炎和之前的心脏手术是显著的危险因素.
- 大动脉根可以发展为破裂的伪动脉瘤.
研究的目的:
- 分析大动脉根伪动脉瘤的特征和结果.
- 审查有关真菌性动脉瘤和大动脉根的文献.
- 为了比较手术与医疗管理的疗效.
主要方法:
- 对2000-2021年出版物的系统文献综述,使用关键词,如"大动脉根真菌动脉瘤".
- 分析了来自152个出版物的157个案例.
- 检查诊断方式,包括食管内心回声和CT动脉图像.
主要成果:
- 大动脉伪动脉瘤主要影响男性 (80.9%),平均年龄为51岁.
- 发烧是最常见的症状 (68.5%),诊断平均需要27.2天.
- 膜感染 (45.9%) 是主要的病因,而斯塔菲洛科克和链球菌种类是常见的病原体.
- 之前的心脏手术 (49.0%) 是一个频繁的并发症.
- 与医疗管理 (47.8%) 相比,手术治疗显示住院患者死亡率显著降低 (12.2%).
结论:
- 大动脉根伪动脉瘤在中年男性中最常见,通常有先前的大动脉手术史.
- 准确的诊断需要结合临床病史,食管横断心声学和CT动脉图.
- 外科干预是对大动脉根伪动脉瘤的首选治疗方法,从而提高了存活率.
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