Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico / Hybrid management of an infectious pseudoaneurysm: Report of one case
Rev. méd. Chile
;
139(8): 1071-1074, ago. 2011. ilus
Artículo
en Español
| LILACS
| ID: lil-612224
ABSTRACT
We report a 61-year-old male with a four months history of progressive back pain, fever, weight loss and hematuria. A CAT scan showed a spondylitis with destruction of L1 and L2 vertebral bodies and a big pseudoaneurysm of the posterior wall of the visceral aorta. A hybrid approach was used to repair the lesion in two stages; a surgical superior mesenteric artery revascularization followed by the placement of an endovascular stent graft in the affected segment of the aorta 48 hours later, excluding the lesion from circulation. In the postoperative period, no evidence of mesenteric vascular insufficiency was detected but the patient developed a systemic inflammatory response that was managed adequately. A CAT scan performed one month later confirmed the exclusion of the pseudoaneurysm. One year after surgery, the patient is able to walk and without evidences of infection or pseudoaneurysm.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Infecciones Estafilocócicas
/
Aneurisma Infectado
/
Arteria Mesentérica Superior
/
Aneurisma Falso
/
Implantación de Prótesis Vascular
/
Procedimientos Endovasculares
Límite:
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2011
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Regional de Punta Arenas Dr Lautaro Navarro Avaria/CL
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