手术战胜了真菌威胁:管理由内心炎复杂的上层中枢动脉动脉瘤
Victor Cabrera-Bou1,2, Alyssa Dellutri1, Frederick Fisher1,2
1College of Medicine, University of Central Florida, Orlando, FL.
Journal of vascular surgery cases and innovative techniques
|January 16, 2026
概括
上层中枢动脉 (SMA) 的真菌性动脉瘤很少见,但很危险. 这个案例证明了复杂的感染SMA动脉瘤的成功开放修复,强调了早期识别和干预的重要性.
科学领域:
- 血管外科 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:
- 上层中枢动脉 (SMA) 的真菌性动脉瘤是不常见的血管病变,占所有中枢动脉瘤的不到1%.
- 这些动脉瘤经常与传染性内心炎有关,并具有明显的破裂和死亡风险.
- 以前的感染性内心炎和假置换病史增加了管理SMA动脉瘤的复杂性.
研究的目的:
- 报告一种罕见的上层中枢动脉 (SMA) 菌状动脉瘤病例.
- 为了说明受感染,解剖学上复杂的SMA动脉瘤所带来的诊断和治疗挑战.
- 强调开放式手术修复在处理此类病例中的作用.
主要方法:
- 一名53岁的男性患者有传染性内心炎史和门置换,出现了偶然发现的SMA动脉瘤.
- 计算机断层扫描血管学被用来描述动脉瘤的大小 (2.1厘米),形态 (囊状) 和感染的外观.
- 患者接受了动脉瘤的开放式切除手术,并进行了逆向沙芬静脉插座移植.
主要成果:
- 患者被诊断为2.1厘米的囊性SMA动脉瘤,由于外观,可疑是真菌性.
- 使用逆向沙芬静脉移植的开放性手术修复成功进行.
- 患者在手术后经历了一次无故障的恢复.
结论:
- 早期识别和准确的成像对于管理真菌性SMA动脉瘤至关重要.
- 开放式手术修复仍然是感染和解剖学上具有挑战性的SMA动脉瘤的可行和有效选择.
- 这一案例强调了在有内心炎病史的患者中考虑真菌性动脉瘤的重要性.
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