• Title/Summary/Keyword: 동맥류 감염

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Mycotic Aneurysm of the Superior Mesenteric Artery -Report of 2 Cases- (상간장막동맥에 발생한 감염성 동맥류의 외과적 치료 - 2례 보고 -)

  • 강종렬;구본일
    • Journal of Chest Surgery
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    • v.30 no.1
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    • pp.97-102
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    • 1997
  • We have experienced two cases of mycotic aneurysms of the superior mesenteric artery The first case originated from septic embolism of Infective endocarditis and the second case originated from salmonella enteritis eight months before The aneurysms were diagnosed by abdominal ultrasonography and comflrmed by computed tomogram and dngiography but the blood culture was negative in both cases at the time of the surgery. Both patient ere successfully treated by resection only and the restorations of vdsculdr continuity were not neccesary because of adequate collateral circulations to the intestine. Both pd.tient's postoperative courses were uneventful after the follow up of one year and nine months, respectively.

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Infected Abdominal Aortic Aneurysm (감염성 복부 대동맥류 -수술치험 1례 보고-)

  • 김경렬;최세영
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.342-345
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    • 1996
  • Mycotic anuerysms are uncommon but it is a fulminant infectious process frequently resulting in rupture and death if not properly treated. Commonly known it as infected aneurysm caused by noncardiogenic bacteremia. We experienced a case of infected aneurysm of the abdominal aorta that ruptured into the retroperitoneum. A 57 year old man was admitted with lower back pain, fever and palpable mass. It was identified as an inf cted abdominal aneurysm with staphylococcal septicemia. He underwent resection of aneurysm and replacement with a prosthetic graft and prolonged postoperative organism-specific antibiotics therapy. He recovered well and discharged without complications postoperatively.

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Obturator Bypass Surgery in a Patient with an Infected Femoral Artery Pseudoaneurysm with Sepsis (패혈증을 동반한 감염된 대퇴동맥 가성동맥류 환자에서 폐쇄공우회술을 이용한 치험)

  • Jun, Hee Jae;Han, Il Yong;Yoon, Young Chul;Lee, Yang Haeng;Hwang, Youn Ho;Cho, Kwang Hyun
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.107-110
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    • 2009
  • Infection of the both native and prosthetic vessels in the groin is a very serious disease because of recurrent arterial rupture and sepsis, and both these complications can cause death. The successful treatment of groin infection, including infection of the femoral artery, requires extensive excision of the infected tissues and restoration of the circulation. We experienced a case of obturator bypass in a patient with an infected femoral artery pseudoaneurysm and accompanying sepsis, and this occurred after performing a transfemoral angiogram in an A-V fistula of the carotid artery, and the patient also displayed intracranial hemorrhage.

Surgical Treatment of an Aneurysm on a Branch of the Subclavian Artery, and the Mass Presented as a Neck Mass - A case report - (목 부위 종괴로 발현된 우측 쇄골하 동맥 분지에 발생한 동맥류의 수술적 치험 - 1예 보고 -)

  • Lee, Woo-Surng;Kim, Yo-Han;Chee, Hyun-Keun;Hwang, Jae-Joon;Kim, Jun-Seok;Lee, Song-Am
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.380-383
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    • 2009
  • Subclavian artery aneurysms are a very rare disease and the common causes are trauma, infection and atherosclerosis. A 69-year-old female, who had no history of trauma and infection, underwent surgical treatment for an aneurysm on a branch of the subclavian artery, and this aneurysm presented as a neck mass.

Infectious Pseudoaneurysm Caused by Group A Streptococcus in a Child without Underlying Disease (기저 질환이 없는 소아에서 A군 사슬알균 균혈증에 동반된 감염성 가성동맥류 1예)

  • Kim, Kyoung Ha;Lee, Hyunju;Oh, Chi Eun
    • Pediatric Infection and Vaccine
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    • v.24 no.3
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    • pp.183-187
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    • 2017
  • Group A streptococcus is a common cause of upper respiratory infection in children; however, it is a rare cause of pseudoaneurysm in pediatrics with only limited reports of cases associated with cardiac surgery and underlying disease. We report a case of infectious pseudoaneurysm of the right internal iliac artery caused by group A streptococcus in a previously healthy 5-year-old boy who presented with scarlet fever and group A streptococcal bacteremia. He was admitted to the hospital with fever, rash on the whole body, and sore throat, accompanied by severe leg pain. He was treated with surgical removal and antibiotics. Because a pseudoaneurysm may develop in children without vascular-related underlying diseases, we should consider the possibility of this important clinical diagnosis in patients with scarlet fever.

Surgical Treatment of Delayed Traumatic Anuerysm of the Innominate Artery - A case report- (외상 후 발생한 지연성 무명동맥류의 수술적 치료 -1예 보고 -)

  • Park Hoon;Keum Dong Yoon;Kim Hyung Tae;Koo Ja Hyun;Ko Sung Min;Choi Sae Young;Park Nam Hee
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.162-165
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    • 2006
  • The innominate artery aneurysm is an uncommon entity. A 36-year-old man was transferred to our hospital because of incidental finding of right superior mediastinal mass. He had a history of blunt chest trauma due to automobile accident 16 years earlier. Computed tomography scanning demonstrated 5-cm sized sacular aneurysm with thrombus at the innominate artery. The prosthetic bifurcated bypass grafting from the ascending aorta to the right common carotid artery and right subclavian artery was performed under the moderate hypothermic cardioplumonary bypass. We report a successful surgical treatment for a rare case of the innominate artery aneurysm.

Surgical Experience of Aortic Root Abscess with Complete AV Block and Pseudoaneurysm (완전 방실 차단과 가성 동맥류를 동반한 만성 대동맥 근부농양 수술적 치험)

  • 한국남;오세진;구본권;김경환
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.868-871
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    • 2004
  • A 42 year old male was operated with aortic root abscess and pseudoaneurysm. Aortic valve vegetations which measured $8\times5$ cm and root abscess were removed and debrided. We reconstructed root and noncoronary sinus with autopericardium. Antibiotics were administered for 4 weeks. In general, Aortic root abscess recurs frequently and mortality is high. It is usually requires early surgical eradication with antibiotics medication.

A Ruptured Salmonella-Infected Abdominal Aortic Aneurysm of the Suprarenal Type -A case report- (신동맥 상방의 파열된 Salmonella 복부 대동맥류 - 1예 보고 -)

  • Moon, Jong-Hwan;Hong, You-Sun;Lim, Sang-Hyun;Jung, Joon-Ho
    • Journal of Chest Surgery
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    • v.43 no.2
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    • pp.199-203
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    • 2010
  • Infected aortic aneurysms are rare, but the mortality of patients with infected aortic aneurysms remains high. Open surgical procedures are the standard of care for infected aneurysms of aorta, but the surgical results are often disappointing. The risk factors related to the high mortality include aneurysm rupture and a suprarenal aneurysm location. The classic method for treating infected aneurysms has been aneurysm resection, soft tissue debridement, remote arterial reconstruction out of the field of infection and antibiotics. Infected anuerysms located in the suprarenal aorta are highly lethal because of the need to reimplant the visceral or renal arteries and the graft related complications. We reported here on a case of suprarenal infected aortic aneurysm in a 55-years-old man. We also include a review of the relevant medical literature.

A Case of Carotid Artery Pseudoaneurysm Misdiagnosed as Aggravation of Non-tuberculous Mycobacterial Lymphadenitis (비정형 결핵성 림프절염의 악화로 오인된 경동맥 가성동맥류 1예)

  • Noh, Woong Jae;Lee, Hyoung Shin;Kim, Sung won;Lee, Kang Dae
    • Korean Journal of Head & Neck Oncology
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    • v.33 no.1
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    • pp.73-77
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    • 2017
  • An 81 year-old male patient presented with rapid enlargement of left lateral neck mass, diagnosed two months earlier as cervical nontuberculous mycobacterial lymphadenitis. Abscess formation and impending rupture related to aggravation of nontuberculous mycobacterial lymphadenitis was highly suspected. Unexpectedly, blood flow was detected by Doppler ultrasonography, which indicated possible vascular mass. Computed tomography demonstrated a $6.0cm{\times}4.0cm$ sized enhancing mass consistent with pseudoaneurysm of internal carotid artery. The patient underwent pseudoaneurysmectomy. Surgical drainage without adequate evaluation might have led to potentially life-threatening condition. We describe this rare case with importance of imaging screening in a neck mass.

Aorta-esophageal Fistula That Developed after Endovascular Stent-grafting of a Mycotic Aneurysm - A case report- (감염성 대동맥류에 혈관 내 스텐트 삽입 시행 후 발생한 대동맥-식도루 - 1예 보고 -)

  • Nam, Jin-Hae;Park, Kay-Hyun;Yoo, Jae-Suk;Lee, Jae-Hang;Lim, Cheong;Jheon, Sang-Hoon
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.781-784
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    • 2010
  • A 74-year-old woman presented at our hospital with hemoptysis. Three months ago, she had endovascular stent-grafting done by a general surgeon for a saccular thoracic aneurysm that was found accidentally following an episode of fever and chills. Despite a lasting fever after the procedure, she was discharged without further treatment and follow-up. She was subsequently admitted to the hospital for evaluation and several exams were performed. Chest CT scans and an esophagoscopy identified an aorto-esophageal fistula at the level of the aorta that was covered by a previous stent-graft. After extensive administration of antibiotics, surgery was done - esophagectomy, cervical esophago-gastrostomy and replacement of the thoracic aorta. She was later discharged uneventfully.