{"title":"慢性主动脉夹层白色念珠菌引起的肠系膜上动脉真菌性动脉瘤1例:原位右胃网膜动脉的应用","authors":"Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Akio Shimoji MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD","doi":"10.1016/j.jvscit.2025.101798","DOIUrl":null,"url":null,"abstract":"<div><div>Mycotic aneurysm of the superior mesenteric artery is a rare condition in the literature. Here, we present a case of mycotic aneurysm of the superior mesenteric artery induced by <em>Candida albicans</em>, for which we successfully performed an aneurysmectomy and in situ gastroepiploic artery bypass in a 60-year-old patient with chronic aortic dissection. Postoperative three-dimensional computed tomography angiography revealed the patency of the in situ gastroepiploic artery. Pathology verified the presence of <em>Candida albicans</em> in the aneurysmal wall. In situ gastroepiploic artery restored the antegrade blood supply to the superior mesenteric artery. In addition, use of in situ gastroepiploic artery does not need arterial inflow.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101798"},"PeriodicalIF":0.7000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mycotic aneurysm of superior mesenteric artery caused by Candida albicans in a patient with chronic aortic dissection: The utility of in situ right gastroepiploic artery\",\"authors\":\"Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Akio Shimoji MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD\",\"doi\":\"10.1016/j.jvscit.2025.101798\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Mycotic aneurysm of the superior mesenteric artery is a rare condition in the literature. Here, we present a case of mycotic aneurysm of the superior mesenteric artery induced by <em>Candida albicans</em>, for which we successfully performed an aneurysmectomy and in situ gastroepiploic artery bypass in a 60-year-old patient with chronic aortic dissection. Postoperative three-dimensional computed tomography angiography revealed the patency of the in situ gastroepiploic artery. Pathology verified the presence of <em>Candida albicans</em> in the aneurysmal wall. In situ gastroepiploic artery restored the antegrade blood supply to the superior mesenteric artery. In addition, use of in situ gastroepiploic artery does not need arterial inflow.</div></div>\",\"PeriodicalId\":45071,\"journal\":{\"name\":\"Journal of Vascular Surgery Cases Innovations and Techniques\",\"volume\":\"11 4\",\"pages\":\"Article 101798\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-04-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Vascular Surgery Cases Innovations and Techniques\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2468428725000802\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468428725000802","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
Mycotic aneurysm of superior mesenteric artery caused by Candida albicans in a patient with chronic aortic dissection: The utility of in situ right gastroepiploic artery
Mycotic aneurysm of the superior mesenteric artery is a rare condition in the literature. Here, we present a case of mycotic aneurysm of the superior mesenteric artery induced by Candida albicans, for which we successfully performed an aneurysmectomy and in situ gastroepiploic artery bypass in a 60-year-old patient with chronic aortic dissection. Postoperative three-dimensional computed tomography angiography revealed the patency of the in situ gastroepiploic artery. Pathology verified the presence of Candida albicans in the aneurysmal wall. In situ gastroepiploic artery restored the antegrade blood supply to the superior mesenteric artery. In addition, use of in situ gastroepiploic artery does not need arterial inflow.
期刊介绍:
Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.