RESUMO
The implantation of covered stents or stentgrafts has increased greatly in the last few years for the endovascular reconstruction of arterial aneurysms. We report of three patients experiencing severe septic complications after stentgraft implantation. Endovascular stentgraft infection is a serious complication with high morbidity and mortality. General antibiotic prophylaxis seems to be indicated when implanting stentgrafts.
Assuntos
Aneurisma da Aorta Abdominal/terapia , Arteriopatias Oclusivas/terapia , Materiais Revestidos Biocompatíveis , Infecções Relacionadas à Prótese/diagnóstico por imagem , Stents , Idoso , Angiografia , Antibacterianos/uso terapêutico , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Arteriopatias Oclusivas/diagnóstico por imagem , Terapia Combinada , Humanos , Masculino , Infecções Relacionadas à Prótese/terapia , Tomografia Computadorizada por Raios XRESUMO
Primary bacterial aortitis represents a rare disease with a high lethality. From June 1997 to April 1999 5 patients with an abdominal aortic infection were treated by resection of the infected aorta and in-situ reconstruction or by extra-anatomic bypass. There was no treatment in one case because of the infaust prognosis. 3 patients survived, one with a paraparesis as a result of spinal ischemia. On the basis of our patients the pathogenesis, clinical symptoms with diagnosis and the therapeutic options are discussed.
Assuntos
Aortite/cirurgia , Infecções por Proteus/complicações , Proteus mirabilis , Infecções por Pseudomonas/complicações , Infecções Estafilocócicas/complicações , Idoso , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Aortite/diagnóstico , Aortite/etiologia , Implante de Prótese Vascular , Diagnóstico Diferencial , Emergências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polietilenotereftalatos , Infecções por Proteus/tratamento farmacológico , Infecções por Pseudomonas/tratamento farmacológico , Fatores de Risco , Infecções Estafilocócicas/tratamento farmacológico , Fatores de TempoRESUMO
We report on a posttraumatic aneurysm of the brachiocephalic trunk, something which is rather rare. The injury was caused by blunt chest trauma following a car accident. Computed tomography could not find the brachiocephalic lesion. In patients with fractures of the upper ribs after blunt chest trauma, angiography should be done to exclude severe injuries of the aorta and brachiocephalic vessels.