Aortic Graft Infection

Ladizinski, Barry; Sankey, Christopher

doi:10.1007/s11606-014-2838-5

Cited by 2 publications

(1 citation statement)

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“…The optimal management of prosthetic graft infection is unclear, but the common default approach is complete removal of the infected graft [3] . Some patients with very high perioperative risk may undergo full or partial graft preservation with instillation or irrigation of local antibiotics or continuous intravenous antibiotic treatment [1,4] , although there are no clear guidelines regarding conservative non-surgical treatment of these infections and only a handful of reports describe short-term conservative antibiotic treatment of endovascular graft infections [5] . As the use of endovascular stent grafting is becoming widespread, there is a growing need to deal with the complications of this procedure, namely infections.…”

Section: Discussionmentioning

confidence: 99%

Long-term Successful Antibiotic Therapy for Recurrent Aortic Graft Infection

Dykman

Cohen

Rapoport

2018

European Journal of Case Reports in Internal Medicine

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ObjectiveTo report a case of successful long-term conservative management of a patient with aortic graft infection due to multiple infectious agents.Materials and methodsWe describe the clinical case and present a review of relevant literature.ResultsAn 82-year-old man presented with recurrent Escherichia coli bacteraemia. He was diagnosed with an endovascular aortic graft infection. As the patient declined surgery, conservative treatment with daily antibiotic therapy was instituted. We report good clinical results after almost 2 years of treatment and follow-up.ConclusionsThe preferred treatment of aortic graft infections is surgical. Conservative management is usually offered to poor surgical candidates and is associated with an unfavourable outcome. However, we report that selected patients may be successfully treated using prolonged antibiotic therapy.LEARNING POINTSEndovascular graft infection is a serious, potentially life-threatening complication of aortic aneurism repair.Surgical management is the preferred therapeutic approach; information about conservative therapy options and their outcomes is limited.Long-term conservative management with ambulatory maintenance antibiotic therapy is an adequate treatment alternative and in selected patients can lead to a good clinical outcome.

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