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
Article
Dans Espagnol
| 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Infections à staphylocoques
/
Anévrysme infectieux
/
Artère mésentérique supérieure
/
Faux anévrisme
/
Implantation de prothèses vasculaires
/
Procédures endovasculaires
Limites du sujet:
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2011
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Hospital Regional de Punta Arenas Dr Lautaro Navarro Avaria/CL
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