Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico

We report a 61-year-old male with a four months history of progressive back pain, fever, weight loss and hematuria. A CAT scan showed a spondylitis with destruction of L1 and L2 vertebral bodies and a big pseudoaneurysm of the posterior wall of the visceral aorta. A hybrid approach was used to repai...

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Autores principales:	Sagüés C,Rodrigo, Soto G,Sebastián
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Aneurysm infected Prostheses and implants Stents
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000800014
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spelling	oai:scielo:S0034-988720110008000142011-12-20Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínicoSagüés C,RodrigoSoto G,Sebastián Aneurysm infected Prostheses and implants Stents We report a 61-year-old male with a four months history of progressive back pain, fever, weight loss and hematuria. A CAT scan showed a spondylitis with destruction of L1 and L2 vertebral bodies and a big pseudoaneurysm of the posterior wall of the visceral aorta. A hybrid approach was used to repair the lesion in two stages; a surgical superior mesenteric artery revascularization followed by the placement of an endovascular stent graft in the affected segment of the aorta 48 hours later, excluding the lesion from circulation. In the postoperative period, no evidence of mesenteric vascular insufficiency was detected but the patient developed a systemic inflammatory response that was managed adequately. A CAT scan performed one month later confirmed the exclusion of the pseudoaneurysm. One year after surgery, the patient is able to walk and without evidences of infection or pseudoaneurysm.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.8 20112011-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000800014es10.4067/S0034-98872011000800014
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aneurysm infected Prostheses and implants Stents
spellingShingle	Aneurysm infected Prostheses and implants Stents Sagüés C,Rodrigo Soto G,Sebastián Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico
description	We report a 61-year-old male with a four months history of progressive back pain, fever, weight loss and hematuria. A CAT scan showed a spondylitis with destruction of L1 and L2 vertebral bodies and a big pseudoaneurysm of the posterior wall of the visceral aorta. A hybrid approach was used to repair the lesion in two stages; a surgical superior mesenteric artery revascularization followed by the placement of an endovascular stent graft in the affected segment of the aorta 48 hours later, excluding the lesion from circulation. In the postoperative period, no evidence of mesenteric vascular insufficiency was detected but the patient developed a systemic inflammatory response that was managed adequately. A CAT scan performed one month later confirmed the exclusion of the pseudoaneurysm. One year after surgery, the patient is able to walk and without evidences of infection or pseudoaneurysm.
author	Sagüés C,Rodrigo Soto G,Sebastián
author_facet	Sagüés C,Rodrigo Soto G,Sebastián
author_sort	Sagüés C,Rodrigo
title	Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico
title_short	Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico
title_full	Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico
title_fullStr	Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico
title_full_unstemmed	Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico
title_sort	manejo híbrido de aneurisma infeccioso de aorta visceral: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000800014
work_keys_str_mv	AT saguescrodrigo manejohibridodeaneurismainfecciosodeaortavisceralcasoclinico AT sotogsebastian manejohibridodeaneurismainfecciosodeaortavisceralcasoclinico
_version_	1718436582648709120

Manejo híbrido de aneurisma infeccioso de aorta visceral: Caso clínico

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