Asunto(s)
Aneurisma Infectado/diagnóstico , Aorta Abdominal/diagnóstico por imagen , Aneurisma de la Aorta Abdominal/diagnóstico , Enfermedades de la Columna Vertebral/etiología , Anciano , Aneurisma Infectado/complicaciones , Aneurisma Infectado/cirugía , Aorta Abdominal/cirugía , Aneurisma de la Aorta Abdominal/complicaciones , Aneurisma de la Aorta Abdominal/cirugía , Implantación de Prótesis Vascular/métodos , Humanos , Vértebras Lumbares/diagnóstico por imagen , Masculino , Enfermedades de la Columna Vertebral/diagnóstico por imagen , Stents , Tomografía Computarizada por Rayos XRESUMEN
The study presented a case of a 58-year-old male patient treated for retroperitoneal fibrosis, right hydronephrosis, and right common iliac artery stenosis and saccular aneurysm of the above-mentioned vessel. The patient was qualified for endovascular treatment. Stentgraft implantation was performed with good long-term patency during more than 3 years of follow-up. Complete relief of intermittent claudication was observed. However, the endovascular exclusion of the aneurysm did not influence the course of retroperitoneal fibrosis.
Asunto(s)
Antiinflamatorios/uso terapéutico , Claudicación Intermitente/tratamiento farmacológico , Claudicación Intermitente/etiología , Extremidad Inferior/fisiopatología , Fibrosis Retroperitoneal/complicaciones , Fibrosis Retroperitoneal/cirugía , Humanos , Masculino , Persona de Mediana Edad , PoloniaRESUMEN
Primarily infected aortic aneurysms represent a small percentage (0.7-1.31%) of abdominal aortic aneurysms. In this paper, we present a case of a 57-year-old man who was admitted to hospital because of abdominal pain and accompanying fever. Initial diagnosis revealed rupture of aortic bifurcation and the patient was qualified for surgical treatment. Intraopeatively, we encountered ruptured aneurysm of aortic bifurcation, additionally we discovered features of infection (cultures revealed Staphylococcus aureus spp.), which precluded the use of a dacron prostheis. Due to the stable hemodynamic status of the patient, we decided to perform "in situ" aorto-iliac reconstruction using deep vein harvested from the single lower limb. Such procedures are rarely performed on an emergency basis, however, potential benefits may outweigh the risk of a more technically challenging procedure. In the postoperative course antimicrobial treatment against Staphylococcus aureus was continued for 12 weeks after surgery. There has been a good long-term patency during more than 5 years of follow-up with no signs of reinfection or degeneration of the graft.