受感染的股骨动脉伪动脉瘤绑定和重血管:一个病例报告
Mohammed Alsagheer Alhewy1, Ehab Abd Elmoneim Ghazala1, Hassan Gado1
1Department of Vascular and Endovascular Surgery, Faculty of Medicine Al-Azhar University Assiut Egypt.
Clinical case reports
|March 25, 2024
概括
结合受感染的股骨虚动脉瘤可能是具有挑战性的. 这一案例凸显了在伪动脉瘤切除后肢体救援处于危险状态时,需要使用外解剖绕道移植进行重血管化.
科学领域:
- 血管外科 血管外科
- 传染病管理 传染病管理
背景情况:
- 腿部伪动脉瘤,特别是当感染时,带来了重大的外科手术挑战.
- 静脉药物滥用是一种常见的风险因素,导致股区域感染的伪动脉瘤.
研究的目的:
- 为了突出管理受感染的股骨动脉伪动脉瘤在一个年轻的静脉注射药物滥用者的困难.
- 在伪动脉瘤切除和动脉绑定后提出一个成功的重血管化策略.
主要方法:
- 一名37岁的男性静脉注射药物滥用者呈现出一个大,受感染的股骨虚动脉瘤.
- 手术管理涉及伪动脉瘤切除,常见的股骨,表面的股骨和深层的股骨动脉绑定.
- 由于缺少远端脉冲,通过使用银浸的移植物,通过外解剖性阴茎骨绕道实现了肢体救援.
主要成果:
- 进行了感染伪动脉瘤的切除.
- 常见的股骨动脉及其分支的绑定导致远端脉冲的缺失和脚的氧和度降低.
- 通过外解剖绕道移植,成功的再血管化得到证实.
结论:
- 在静脉注射药物滥用者中感染的股骨神经瘤需要积极的管理.
- 当动脉结合导致缺血时,四肢再血管化至关重要.
- 在复杂的情况下,外解剖绕道移植为肢体救援提供了可行的解决方案.
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