结核性主动脉瘤综述

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Abdulmajeed Altoijry
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引用次数: 1

摘要

引言结核性主动脉瘤(TBAA)是一种极为罕见但严重的肺结核表现,在没有医疗或手术干预的情况下,主动脉突然破裂的风险很高。这篇综述旨在提供对TBAA的详细了解,包括其相关并发症、受影响人群、治疗措施和结果。方法通过案例分析和相关研究文献,了解TBAA医学科学知识的最新进展。检索2010年至2020年关于TBAA的最新临床病例报告。结果病例报告显示男性人群中TBAA的患病率较高。受影响最大的年龄组是15至79岁。TBAA最常见的治疗方法包括手术,然后是抗结核药物。本综述中讨论的病例报告反映了根据动脉瘤的并发症和类型,开放手术、血管内修复、线圈栓塞、剖腹手术、主动脉瓣和根部置换术是一些外科手术。在大多数情况下,治疗结果被认为是有效的。结论术后化疗和药物治疗可降低严重程度的风险。TBAA的早期诊断至关重要,其次是手术切除和术后抗结核药物治疗,并仔细随访以防止复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tuberculous Aortic Aneurysm - A Review
Introduction Tuberculous aortic aneurysm (TBAA) is an exceedingly rare but severe manifestation of tuberculosis, with a high risk of sudden rupture of the aorta in absence of medical or surgical intervention. This review aimed to provide a detailed understanding of TBAA, including its associated complications, affected population, treatment measures, and outcomes. Methods Case studies and relevant research articles were analyzed to understand the recent advances in medical scientific knowledge on TBAA. Recent clinical case reports on TBAA were searched from the year 2010 to 2020. Results Case reports indicated a higher prevalence of TBAA in the male population. The most affected age group was 15 to 79 years. The most common treatment for TBAA included surgery followed by antituberculous medication. The case reports discussed in this review reflected open surgery, endovascular repair, coil embolization, laparotomy, aortic valve and root replacement as some of the surgical procedures used depending on the complication and type of aneurysm. The treatment outcome was considered effective in most cases. Conclusion Postoperative chemotherapy and medications reduce the risk of severity. Early diagnosis of TBAA is imperative, followed by surgical resection and postoperative antituberculous medication with careful follow-up to prevent relapse.
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来源期刊
Revista Brasileira De Cirurgia Cardiovascular
Revista Brasileira De Cirurgia Cardiovascular CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.10
自引率
0.00%
发文量
176
审稿时长
20 weeks
期刊介绍: Brazilian Journal of Cardiovascular Surgery (BJCVS) is the official journal of the Brazilian Society of Cardiovascular Surgery (SBCCV). BJCVS is a bimonthly, peer-reviewed scientific journal, with regular circulation since 1986. BJCVS aims to record the scientific and innovation production in cardiovascular surgery and promote study, improvement and professional updating in the specialty. It has significant impact on cardiovascular surgery practice and related areas.
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