<p>An 8-year-old girl was admitted to our hospital with an infected abdominal aortic aneurysm (iAAA), following heart valve lesion excision and mitral valve replacement with a mechanical valve, latter supported by extracorporeal membrane oxygenation. Blood culture identified <i>Staphylococcus aureus</i> infection. The aneurysm was successfully repaired using in situ replacement with an autologous femoral vein graft. This patient represents the youngest reported case of iAAA successfully treated with the neo-aortoiliac system (NAIS) technique using a femoropopliteal vein in our country. The NAIS procedure with femoropopliteal vein offers the advantages of low mortality, improved patency, and reduced risks of reinfection and amputation. It is believed that this case report can encourage the consideration of autologous vascular therapy for infantile aneurysms and broaden treatment options for similar patients with aortic infections, promoting surgical intervention for iAAA among vascular clinicians.</p>

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Infected Abdominal Aortic Aneurysm Treated by In Situ Replacement with Autologous Femoral Vein Graft

  • Jianyun Long,
  • Linjun Wang,
  • Changpin Huang,
  • Jianing Yue,
  • Yongchang Liu,
  • Yukai Chen,
  • Ziqiu Ye,
  • Xin Fang

摘要

An 8-year-old girl was admitted to our hospital with an infected abdominal aortic aneurysm (iAAA), following heart valve lesion excision and mitral valve replacement with a mechanical valve, latter supported by extracorporeal membrane oxygenation. Blood culture identified Staphylococcus aureus infection. The aneurysm was successfully repaired using in situ replacement with an autologous femoral vein graft. This patient represents the youngest reported case of iAAA successfully treated with the neo-aortoiliac system (NAIS) technique using a femoropopliteal vein in our country. The NAIS procedure with femoropopliteal vein offers the advantages of low mortality, improved patency, and reduced risks of reinfection and amputation. It is believed that this case report can encourage the consideration of autologous vascular therapy for infantile aneurysms and broaden treatment options for similar patients with aortic infections, promoting surgical intervention for iAAA among vascular clinicians.