关键词: Abdominal Aortic Aneurysm Arteries Infected Aneurysm, Morbidity

Mesh : Humans Aneurysm, Infected / surgery diagnostic imaging Iliac Aneurysm / surgery diagnostic imaging Male Treatment Outcome Blood Vessel Prosthesis Implantation / methods Iliac Artery / surgery

来  源:   DOI:10.21470/1678-9741-2023-0350   PDF(Pubmed)

Abstract:
Mycotic aneurysms of the iliac and other large arteries are rare and are associated with increased morbidity and mortality. Treatment of mycotic aneurysms usually requires modification of the surgical technique done for cases of degenerative or atherosclerotic aneurysms. Degenerative and atherosclerotic fusiform aneurysms are usually managed with aneurysmorrhaphy using a prosthetic graft, which however is not ideal for mycotic aneurysms. Avoidance of prosthetic material at the site of mycotic aneurysm is a better option with higher chances of resolution of infection and favorable patient outcome.
摘要:
髂动脉和其他大动脉的霉菌性动脉瘤很少见,并与发病率和死亡率增加有关。治疗霉菌性动脉瘤通常需要修改变性或动脉粥样硬化动脉瘤病例的手术技术。退行性和动脉粥样硬化梭形动脉瘤通常使用假体移植物进行动脉瘤缝合。然而,这对于霉菌性动脉瘤并不理想。在霉菌性动脉瘤部位避免假体材料是更好的选择,感染解决的机会更高,患者预后良好。
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