完全门置换后的真菌性肺动脉伪动脉瘤:一个病例报告
Hiroaki Osada1, Hisashi Sakaguchi1, Kazuhiro Yamazaki1
1Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Surgical case reports
|May 3, 2024
概括
一种罕见的真菌性肺动脉伪动脉瘤,大动脉手术后的严重并发症,通过门置换,移植修复和抗生素成功治疗. 这一案例突出了对这种毁灭性的术后疾病的有效管理.
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:
- 菌性肺动脉动脉瘤是一种罕见但严重的疾病,死亡率高.
- 菌性肺动脉伪动脉瘤,特别是在中心区域,是非常罕见的.
- 这一病例涉及一名68岁的妇女,她患有菌性肺动脉伪动脉瘤的晚期并发症,在整体门置换后4个月.
研究的目的:
- 报告一个罕见的真菌性肺动脉伪动脉瘤病例,作为全面门置换后的晚期并发症.
- 描述这种极其罕见的术后病症的成功手术和抗生素治疗方法.
主要方法:
- 一名68岁的女性患者发烧来源不明,有大动脉剖析修复史,出现了Enterococcus faecalis bacteremia.
- 诊断工作包括心声回声,对比CT和FDG-PET,揭示了额头和大动脉植被,严重的反/缺血以及肺动脉的伪动脉瘤.
- 治疗涉及手术修复,包括门置换,全额门置换,肺动脉修复和一轮抗生素治疗.
主要成果:
- 患者在手术干预和抗生素治疗后成功康复.
- 治疗后一年没有发现再次感染的证据.
- 这一案例证明了真菌性肺动脉伪动脉瘤的手术修复的可行性.
结论:
- 菌性肺动脉伪动脉瘤的成功手术修复是可能的,即使是大动脉手术后的晚期并发症.
- 这一案例突出了极为罕见的术后并发症的有效治疗策略.
- 及时诊断和综合管理,包括手术和抗生素,对于有利的结果至关重要.
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