지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 41 - 46 (6page)
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Purpose: Infected aneurysms of the abdominal aorta or iliac artery (IAAA) are rare but fatal and difficult to treat. The purpose of this study was to review the clinical presentations and outcomes of IAAA and to establish a treatment strategy for optimal treatment of IAAA. Materials and Methods: Electronic medical records of 13 patients treated for IAAA at Seoul National University Hospital between March 2004 and December 2012 were retrospectively reviewed. Results: Mean age was 64.2 (median 70, range 20?79) years. Aneurysms were located in the infrarenal aorta (n=7), iliac arteries (n=5), and suprarenal aorta (n=1). Seven patients underwent excision and in situ interposition graft, 3 underwent extra-anatomical bypass, and 1 underwent endovascular repair. One patient with endovascular repair in an outside hospital refused resection, and only debridement was done, which revealed tuberculosis infection. One staphylococcal infection was caused by iliac stenting. Mycobacterium was the most common pathogen, followed by Klebsiella, Salmonella, and Staphylococcus. There were 3 in-hospital mortalities and the causes were sepsis in 2 and aneurysm rupture in 1. The 3 extra-anatomic bypasses were all patent after 5-year follow-up. Conclusion: IAAA develops from various causes and various organisms. IAAA cases with gross pus were treated with extra-anatomic bypass, which was durable. In situ reconstruction is favorable for long term-safety and efficacy, but extensive debridement is essential.
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참고문헌 (20)
참고문헌 신청
Reddy DJ / 1991 / Management of infected aortoiliac aneurysms / Arch Surg 126:873~878
Müller BT / 2001 / Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries:experience with anatomic and extraanatomic repair in 33 cases / J Vasc Surg 33:106~113
Gomes MN / 1992 / Infected aortic aneurysms. A changing entity / Ann Surg 215:435~442
Lee CH / 2011 / In situ versus extra-anatomic reconstruction for primary infected infrarenal abdominal aortic aneurysms / J Vasc Surg 54:64~70
Woon CY / 2008 / Extra-anatomic revascularization and aortic exclusion for mycotic aneurysms of the infrarenal aorta and iliac arteries in an Asian population / Am J Surg 195:66~72
Müller BT / 2001 / Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries:experience with anatomic and extraanatomic repair in 33 cases / J Vasc Surg 33:106~113
Gomes MN / 1992 / Infected aortic aneurysms. A changing entity / Ann Surg 215:435~442
Lee CH / 2011 / In situ versus extra-anatomic reconstruction for primary infected infrarenal abdominal aortic aneurysms / J Vasc Surg 54:64~70
Woon CY / 2008 / Extra-anatomic revascularization and aortic exclusion for mycotic aneurysms of the infrarenal aorta and iliac arteries in an Asian population / Am J Surg 195:66~72
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