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
in Es
| LILACS
| ID: lil-612224
Responsible library:
BR1.1
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.
Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Staphylococcal Infections
/
Aneurysm, Infected
/
Mesenteric Artery, Superior
/
Aneurysm, False
/
Blood Vessel Prosthesis Implantation
/
Endovascular Procedures
Limits:
Humans
/
Male
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2011
Document type:
Article
Affiliation country:
Chile
Country of publication:
Chile