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Treatment of primary infected juxtarenal aortic aneurysm with the multilayer stent

机译:多层支架治疗原发性感染性近肛门主动脉瘤

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Purpose: To report the use of multilayer uncovered stent to treat primary infected juxtarenal aortic aneurysm. Case Report: A 50-year-old man was admitted to hospital for rapid onset of intractable abdominal pain and high fever. Computed tomographic scan showed 2 juxtarenal saccular aneurysms of abdominal aorta with morphologic and clinical changes compatible with infectious etiology. Patient was treated with multilayer flow-modulating stent. Follow-up imaging showed persistent aneurysm exclusion and continuous aneurysm shrinkage of the sac until complete regression to a normal aortic configuration was seen at 1 year. During follow-up (24 months), patient continued to do well, and there was no recurrence of infection. Conclusion: Multilayer stent appeared to be an acceptable treatment option for primary infected juxtarenal aortic aneurysms. Aneurysmal sac completely disappeared and visceral branches remained patent at 2-year follow-up. However, longer follow-up is necessary to evaluate the long-term patency of involved visceral arteries.
机译:目的:报道多层暴露支架在治疗原发性感染性近主动脉瘤中的应用。病例报告:一名50岁男子因顽固性腹痛和高烧迅速发作而入院。计算机断层扫描显示腹部主动脉有2个近旁囊状动脉瘤,其形态学和临床变化与感染性病因相适应。患者接受了多层流量调节支架的治疗。随访影像显示囊肿持续存在动脉瘤排斥,囊囊持续缩小,直到在1年时观察到主动脉构型完全消退。在随访期间(24个月),患者继续表现良好,没有感染复发。结论:多层支架似乎是原发性感染性近主动脉瘤的一种可接受的治疗选择。在两年的随访中,动脉瘤囊完全消失,内脏分支仍然处于专利状态。但是,需要更长的随访时间来评估相关内脏动脉的长期通畅性。

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