胸腔内血管大动脉修复后内移植感染的管理
Yuki Ikeno1, Adrian Ramirez1, Muhammad A Khan1
1Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at UTHealth Houston, Houston, TX.
Seminars in thoracic and cardiovascular surgery
|November 1, 2025
概括
在胸腔和胸腔腹腔大动脉修复过程中,对罕见的内移植感染进行手术治疗是具有挑战性的. 尽管存在很高的风险,但对这些复杂的大动脉感染,探索和重建提供了可接受的结果.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 大动脉动脉瘤管理管理
背景情况:
- 胸内血管大动脉修复后的内移植感染是罕见但严重的并发症.
- 这些感染导致显著的发病率和死亡率,需要专门的手术干预.
研究的目的:
- 描述下降胸腔和胸腔腹腔大动脉内移植感染的手术管理经验.
- 评估术后的特征,术后的结果和手术修复后的生存率.
主要方法:
- 对2220名患者进行开放式下降胸腔和胸腔腹腔大动脉动脉瘤修复的回顾性审查 (1991-2025年).
- 对20名因内移植感染而接受手术治疗的患者进行分析,包括囊形成.
- 评估外科手术技术,如内移植扩张,现场重建和片修复.
主要成果:
- 20名患者 (0.9%) 需要为内移植感染进行手术治疗.
- 手术后死亡率为30% (6名患者),手术后中风 (5%) 和形 (5%) 的发病率较低.
- 一年和五年生存率分别为43.5%和36.3%.
结论:
- 在下降的胸腔和胸腔腹腔大动脉内移植感染的手术管理是复杂的.
- 包括内移植扩张,现场重建和片修复在内的技术可以在这个高危人群中产生可接受的结果.
- 尽管存在挑战,但手术干预对于管理这些严重的大动脉并发症至关重要.
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