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用TEVAR修复的MSSA胸部真菌性动脉瘤:一个案例报告

Umabalan Thirupathy¹, Vikramaditya Samala Venkata¹, Viraj Panchal²

¹Cheshire Medical Center, 580 Court Street, Keene, NH 03431, USA.

|September 22, 2025

概括

菌性大动脉动脉瘤是一种罕见的,危及生命的大动脉感染. 通过CT血管学早期诊断和抗生素治疗以及胸内血管大动脉修复 (TEVAR) 对于更好的结果至关重要.

科学领域:

血管外科血管外科
传染性疾病传染性疾病
心脏病学心脏病学

背景情况:

菌性大动脉动脉瘤是一种罕见但危急的疾病,涉及感染引起的大动脉扩张或伪动脉瘤.
高死亡风险与破裂有关,特别是在心血管疾病或免疫性损害患者中.
由于非特异性症状,诊断具有挑战性,并且需要高度的怀疑指数.

研究的目的:

为突出诊断挑战和治疗策略的真菌性大动脉动脉瘤.
介绍一个成功的胸内血管大动脉修复 (TEVAR) 的案例研究,用于真菌性大动脉伪动脉瘤.

主要方法:

一个68岁的男性病例介绍,他有冠状动脉疾病和高血压病史,并出现发烧.
最初的成像是不显著的,但对比度增强的CT显示出一个远端大动脉形动脉瘤.
血液培养物鉴定出对甲素敏感的黄金葡萄球菌 (MSSA);患者接受了TEVAR和抗生素治疗.

主要成果:

在初始成像结果为负的情况下,对比度增强CT对于诊断大动脉伪动脉瘤至关重要.
胸内血管大动脉修复 (TEVAR) 已被证明是治疗真菌性大动脉伪动脉瘤的有效和安全方法.
随访成像证实了成功的修复,没有并发症.

结论:

菌性胸腔动脉瘤需要高度的临床怀疑,因为不特定的呈现.
图像扫描血管造影 (CTA) 是最实用的诊断工具.
TEVAR是一种新兴的,可行的,安全的替代方案,用于治疗真菌性大动脉动脉瘤的开放性手术修复 (OSR),以及抗生素治疗.

关键词:

在MSSASA的MSSA 德瓦尔 (TEVAR) 是一个胸部真菌性动脉瘤瘤的发生

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