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在混合疗法后,在零零区的真菌性大动脉伪动脉瘤
Daniela Leocachin1, Joel Estrada1, Jair Quintero1
1Department of Interventional Cardiology, "Hospital de Cardiología de Centro Médico Nacional Siglo XXI," Mexico City, Mexico.
JACC. Case reports
|September 19, 2025
概括
血管内修复是真菌性大动脉动脉瘤的可行的治疗方法,甚至是胸内血管修复 (TEVAR) 的晚期并发症,用于大动脉剖析.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 上升性大动脉真菌性伪动脉瘤很少见,它们的最佳管理仍在争论中.
- 治疗选择包括开放式手术,内血管修复或混合方法.
- 菌性大动脉动脉瘤可能是先前的大动脉干预后的晚期并发症.
研究的目的:
- 介绍一个成功内血管修复真菌性伪动脉瘤的案例.
- 评估内血管修复在治疗大动脉剖析治疗晚期并发症的可行性.
主要方法:
- 一名44岁的男性有B型主动脉解剖史,接受混合疗法治疗,进行了随访.
- 计算机断层扫描显示了一个上升的大动脉真菌性伪动脉瘤.
- 进行了两阶段的混合疗法,包括臂脑干脱枝和零区域胸部内血管修复 (TEVAR).
主要成果:
- 使用零区TEVAR的双阶段混合疗法成功完成.
- 内血管修复有效地解决了真菌性伪动脉瘤.
结论:
- 内血管修复是对大动脉或大动脉移植感染的可行的紧急治疗方法.
- 这种方法可以成为选择的高手术风险患者的最终选择.
- 血管内修复是可行的真菌性大动脉动脉瘤出现后晚TEVAR大动脉剖析后.
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