Endograft Infection Due to Secondary Aortoenteric Fistula Treated With Custom-Made Bovine In Situ Aortic Bifurcation Graft

Walter Corinna; Taher Fadi; Rieger Hannes; Assadian Afshin; Falkensammer Juergen

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Endograft Infection Due to Secondary Aortoenteric Fistula Treated With Custom-Made Bovine In Situ Aortic Bifurcation Graft

机译：由于次级主动脉瘘引起的血液移植感染，用定制牛原位主动脉分叉移植物处理

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Purpose: To increase awareness of the clinical presentation, diagnostic workup, and treatment options for endograft infections. Case Report: A 75-year-old male patient was admitted with suspected endograft infection 4 years after endovascular aortic aneurysm repair (EVAR). Although preoperative diagnostics showed no definitive signs of endograft infection, eventual surgical exposure of the endograft revealed signs of advanced inflammation, including the unexpected finding of an aortoduodenal fistula. Conclusion: A detailed evaluation of patient history and clinical examination, performed as a part of routine follow-ups, may be beneficial in identifying possible severe complications after EVAR early on. Regarding options for aortic reconstruction in case of endograft infection, bovine pericardium deserves consideration as a promising, feasible, and easily available graft material.

机译：目的：提高对临床介绍的认识，诊断疗效和治疗内血症感染的选择。案例报告：45岁男性患者在血管内主动脉动脉瘤修复后4年内涉及疑似内泌血流动感染（EVAR）。虽然术前诊断表现出没有明确的内血症感染迹象，但最终的外科手术暴露的内血血症揭示了先进的炎症的迹象，包括意外的主动脉瓣瘘的发现。结论：对患者历史和临床检查的详细评估作为常规随访的一部分，可能有益于鉴定evar早期后可能的严重并发症。关于内食感染情况下的主动脉重建的选择，牛心包应该考虑到有希望，可行的和易于可用的接枝材料。

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来源
《Vascular and endovascular surgery》 |2019年第2期|共5页
作者
Walter Corinna; Taher Fadi; Rieger Hannes; Assadian Afshin; Falkensammer Juergen;
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作者单位

Wilhelminen Hosp Dept Vasc &

Endovasc Surg Montlearstr 37 Pavillon 30B A-1160 Vienna Austria;

Wilhelminen Hosp Dept Vasc &

Endovasc Surg Montlearstr 37 Pavillon 30B A-1160 Vienna Austria;

Wilhelminen Hosp Dept Pathol Bacteriol Vienna Austria;

Wilhelminen Hosp Dept Vasc &

Endovasc Surg Montlearstr 37 Pavillon 30B A-1160 Vienna Austria;

Wilhelminen Hosp Dept Vasc &

Endovasc Surg Montlearstr 37 Pavillon 30B A-1160 Vienna Austria;

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原文格式 PDF
正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
aortoenteric fistula; endograft infection; mycotic aortic aneurysm; endovascular aneurysm repair; abdominal aortic aneurysm repair; bovine pericardium graft;

机译：主动脉瘘;内传动物感染;肌科学主动脉瘤;血管内动脉瘤修复;腹主动脉瘤修复;牛心包移植物;

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1. Endograft Infection Due to Secondary Aortoenteric Fistula Treated With Custom-Made Bovine In Situ Aortic Bifurcation Graft [J] . Walter Corinna, Taher Fadi, Rieger Hannes, Vascular and endovascular surgery . 2019,第2期

机译：由于次级主动脉瘘引起的血液移植感染，用定制牛原位主动脉分叉移植物处理
2. Aortic and esophageal endografting for secondary aortoenteric fistula. [J] . Civilini E, Bertoglio L, Melissano G, European journal of vascular and endovascular surgery: the official journal of the European Society for Vascular Surgery . 2008,第3期

机译：主动脉和食道内移植治疗继发性主动脉肠瘘。
3. In Situ Reconstruction With Custom-Made Bovine Pericardial Grafts for Aortic Graft Infections and Infected Aneurysm: A Case Series [J] . Radovanovic Bojana, Montreuil Bernard, Chaput Miguel, Journal of vascular surgery . 2014,第5期

机译：定制牛心包移植物原位重建主动脉移植物和感染性动脉瘤的病例系列
4. Simulation of bifurcated stent grafts to treat abdominal aortic aneurysms (AAA) [C] . J. Egger, S. Grosskopf, B. Freisleben Visualization, Image-Guided Procedures pt.2; Progress in Biomedical Optics and Imaging; vol.8 no.28; Proceedings of SPIE-The International Society for Optical Engineering; vol.6509 pt.2 . 2007

机译：分叉支架移植物治疗腹主动脉瘤（AAA）的模拟
5. The Effect of Endografts on the Propagation of Aortic Dissection: A Fluid-Structure Interaction (FSI) Finite-Element Model of Flow through the Descending Thoracic Aorta [D] . Datta, Ankurita 2017

机译：内移植物对主动脉夹层传播的影响：流经胸主动脉的流固耦合（FSI）有限元模型。
6. Late Stent Graft Infection after the Emergency Endovascular Repair of a Secondary Iliac Artery-Enteric Fistula Treated with Graft Removal and In Situ Aortic Reconstruction Using Femoral Veins [O] . Yohei Yamamoto, Kimihiro Igari, Takahiro Toyofuku, 2017

机译：股骨静脉移植和主动脉原位重建治疗I动脉继发性二级瘘后紧急血管内修复后的晚期移植物感染
7. Regarding “Civilini E, Bertoglio L, Melissano G, Chiesa R. Aortic and Esophageal Endografting for Secondary Aortoenteric Fistula. Eur J Vasc Endovasc Surg 2008;36(3):297–9” [O] . Antoniou G.A., Giannoukas A.D. 2009

机译：关于“ Civilini E，Bertoglio L，Melissano G，Chiesa R.主动脉和食管内移植用于继发性主动脉瘘。 Eur J Vasc Endovasc Surg 2008; 36（3）：297–9”

Endograft Infection Due to Secondary Aortoenteric Fistula Treated With Custom-Made Bovine In Situ Aortic Bifurcation Graft

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