A Case of Graft Infection 10 Years After Ascending Aorta Replacement

Miyazaki, Sakiko; Fukushima, Kazuyuki; Sawaki, Daigo; Otani, Yoshitaka; Sekita, Gaku; Takeuchi, Hiroaki; Adachi, Hideo; Ichihara, T.; Aoyagi, Takaaki

doi:10.1007/s10016-004-0122-6

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Although vegetation formation on aortic graft is less frequently seen compared with the valve, it has been reported. 4 , 5 Therefore, infective endocarditis should always be suspected, particularly when patients present with febrile illness. A. actinomycetemcomitans belongs to the HACEK group of organisms that are considered to be an uncommon cause of infective endocarditis, and often a cause of blood culture-negative disease.…”

Section: Discussionmentioning

confidence: 99%

Multimodality imaging in a late septic infection of aortic graft

Aržanauskaitė¹,

Jankauskas²,

Aržanauskienė³

et al. 2016

BJR|case Reports

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A 70-year-old diabetic female patient presented with fatigue, headaches, hallucinations and shivers following a history of sinusitis and ophthalmitis. She had an aortic surgery performed 7 years ago for a stenotic and regurgitant aortic valve with aneurysm of the ascending aorta. Work-up brain MRI revealed septic–embolic encephalitis. Multimodality cardiovascular imaging showed abnormal anterior wall of the ascending aortic graft with vegetation extending into the lumen. Blood culture was only positive for Aggregatibacter actinomycetemcomitans, an uncommon cause of infective endocarditis. During aortic surgery, the intraluminal vegetation with suppurated perigraft tissue was confirmed.

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Section: Discussionmentioning

confidence: 99%

Multimodality imaging in a late septic infection of aortic graft

Aržanauskaitė¹,

Jankauskas²,

Aržanauskienė³

et al. 2016

BJR|case Reports

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“…Since developed, delayed infection of a prosthetic graft especially in the ascending aortic position after five years is uncommon, 3 we performed a CT‐guided aspiration of the fluid collection before doing a major surgical intervention. Cultures from the fluid aspirates grew S. aureus species.…”

Section: Discussionmentioning

confidence: 99%

Prosthetic Graft Infection, Five Years After Ascending Aortic Replacement

Altarabsheh¹,

Deo²,

Berbari

2012

Journal of Cardiac Surgery

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Fifty-year-old male developed an infected perigraft collection five years following wrapping of a Dacron tube with residual aneurysmal ascending aortic tissue. Treatment consisted of excision of the graft, debridement of the infected surrounding tissues, and replacement using a rifampin-soaked Hemashield tube graft. This case demonstrates the potential risk of wrapping prosthetic grafts with native aneurysmal aortic tissue.

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