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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 17巻2号
  1. 部局別インデックス
  2. その他

[症例報告]Staged surgical management of abdominal aortic aneurysm with Klebsiella pneumoniae infection : A case report

http://hdl.handle.net/20.500.12000/0002016086
http://hdl.handle.net/20.500.12000/0002016086
ac54791d-7c1e-4140-ae5b-49358bf0217e
名前 / ファイル ライセンス アクション
v17p105.pdf v17p105.pdf
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

× Kusaba, Akira

en Kusaba, Akira

Koja, Kageharu

× Koja, Kageharu

en Koja, Kageharu

Sunagawa, Kazuya

× Sunagawa, Kazuya

en Sunagawa, Kazuya

Kamada, Yoshihiko

× Kamada, Yoshihiko

en Kamada, Yoshihiko

Kuda, Tomoharu

× Kuda, Tomoharu

en Kuda, Tomoharu

Sakuda, Hitosi

× Sakuda, Hitosi

en Sakuda, Hitosi

Tamaki, Masato

× Tamaki, Masato

en Tamaki, Masato

Tamashiro, Mamoru

× Tamashiro, Mamoru

en Tamashiro, Mamoru

Matsubara, Shinobu

× Matsubara, Shinobu

en Matsubara, Shinobu

Nakao, Kiyoshi

× Nakao, Kiyoshi

en 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
言語 en
主題Scheme Other
主題 abdominal aorta
言語 en
主題Scheme Other
主題 staged arterial reconstruction
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.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 eng
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
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
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 17, 号 2, p. 105-108
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