| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2010-07-02 |
| タイトル |
|
|
タイトル |
[症例報告]Staged surgical management of abdominal aortic aneurysm with Klebsiella pneumoniae infection : A case report |
|
言語 |
ja |
| 作成者 |
Kusaba, Akira
Koja, Kageharu
Sunagawa, Kazuya
Kamada, Yoshihiko
Kuda, Tomoharu
Sakuda, Hitosi
Tamaki, Masato
Tamashiro, Mamoru
Matsubara, Shinobu
Nakao, Kiyoshi
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
infected aortic aneurysm |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
abdominal aorta |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
staged arterial reconstruction |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Klebsiella pneumoniae |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
A 65-year-old Japanese man with an infected saccular aneurysm in the terminal abdominal aorta and septicemia with a high fever over 41℃ related to a liver abscess was successfully treated by an initial aneurysmectomy with axillo-bifemoral prosthetic bypass and by a secondary anatomical aorto-bifemoral prosthetic bypass. A preoperative blood culture grew Klebsiella pneumoniae. An abdominal CT scan and aortography revealed a protrusive saccular aneurysm in the terminal abdominal aorta, associated with compressive thrombosis of the inferior vena cava (IVC) and left common iliac vein. Aneurysmectomy with thorough debridement of the retroperitoneal tissues was initially performed. The aortic stump was oversewn and arterial circulation was restored to the bilateral lower extremities by an axillo-bifemoral prosthetic bypass graft. The occluded ilio-caval venous trunk was reconstructed simultaneously by thrombectomy. After continuous oral administration of antibiotic for 5 months, the arterial continuity was secondarily reverted in the anatomical route using an aorto-bifemoral prosthetic bypass. Thus, we are able to recommend staged surgical management of infected abdominal aortic aneurysms for the prevention of postoperative graft infection and delayed blowout of the sewn aortic stump. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0289-1530 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 17,
号 2,
p. 105-108,
発行日 1997
|
v17p105.pdf
