Infected Prosthetic Grafts

Casali, Robert E.; Tucker, William E.; Thompson, Bernard W.; Read, Raymond C.

doi:10.1001/archsurg.1980.01380050007003

Cited by 67 publications

(6 citation statements)

References 16 publications

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“…1,2 Among the rare causes of vascular graft infections Serratia, Yersinia enterocolitica, nontyphoid Salmonella and Listeria monocytogenes have been reported. [3][4][5][6][7][8] This article reports a case of an infection of the aorta with Listeria monocytogenes after endovascular aneurysm repair and focuses on its treatment in which the endograft was preserved.…”

mentioning

confidence: 99%

Periaortic endograft infection due to Listeria monocytogenes treated with graft preservation

Saleem

Berger

Zeebregts

et al. 2008

Journal of Vascular Surgery

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A 67-year-old man presented to our hospital with general malaise, fever and diffuse abdominal and lower back pain 7 weeks after endovascular aneurysm repair. Blood samples showed a leukocyte count of 10.9 x 10(9)/l and a C-reactive protein of 239 mg/l. The computed tomography (CT)-scan showed fluid collections behind the proximal part of the endovascular graft and dorsal to the aorta. CT-guided translumbar needle aspiration of these collections yielded growth with Listeria monocytogenes. Prosthetic endograft infection is an extremely rare event, especially when it is caused by L. monocytogenes. Given the scarcity of this complication, no consensus has been reached for its treatment. In the described case, radiological drainage and prolonged antibiotic treatment resulted in favourable outcome at midterm follow-up with preservation of the endograft.

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mentioning

confidence: 99%

Periaortic endograft infection due to Listeria monocytogenes treated with graft preservation

Saleem

Berger

Zeebregts

et al. 2008

Journal of Vascular Surgery

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“…Conversely, if severe purulent infection is seen traditional teaching dictates removal of the infected graft, oversewing of the aortic stump and insertion of an extra-anatomic bypass [11,12]. This management is technically complex and carries a reported early mortality rate of 24% to 45% [13][14][15][16][17]. We usually perform an extra-anatomical bypass if possible, but in our cases this approach is not available because the anostomosis included the major abdominal branches.…”

Section: Discussionmentioning

confidence: 99%

Aortic Graft Complicated by a Corynebacterium Striatum Infection Due to Previous Type IV Thoraco Abdominal Aortic Aneurysm Repair

Gabrielli¹,

Rosati²,

Caselli³

et al. 2011

WJCS

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We report successful management of aortic graft infection without graft explanation or extra-anatomic bypass. A 61 year-old male who had undergone surgical repair of a type IV thoraco-abdominal aortic aneurysm presented with left flank pain and raised inflammatory markers following graft implantation. CT scanning revealed a left psoas fluid collection. Graft infection was diagnosed. A radio-guided drainage and conservative management, with irrigation drain placement was undertaken with preservation of the aortic graft. There was no evidence of recurrent infection after follow-up at 34 months. Aortic endograft infection may be managed by surgical or radio-guided drainage, antibiotic irrigation of the graft and systemic antibiotic therapy without graft removal. Figure 3. CT follow-up showed no evidence of recurrent infection.

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“…They recommended that this procedure be done only if the entire graft is infected 11 . Cryopreserved arterial allografts have been used instead of conventional surgical techniques and have shown to produce superior results in terms of disease related survival, duration of intensive care stay and antibiotic therapy and cost containment 12 .…”

Section: Discussionmentioning

confidence: 99%

Management of a case of infected thoracic aorta prosthesis with creation of extra anatomic conduit from ascending aorta to bilateral femoral arteries

Karthekeyan

Selvaraju

Gangadhar

et al. 2008

Indian J Thorac Cardiovasc Surg

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The management and treatment of an infected aortic aneurysm is a tricky one and is usually done by graft excision and creation of an extra anatomic conduit. We present here a case of a 53 year old patient who underwent a prosthetic graft insertion for leaking thoracic aortic ulcer with esophageal compression. Post operatively, the thoracic wound got infected and he developed esophageal leak for which a de-functioning esophagectomy had to be done. Later, the patient had bleeding from thoracic cavity and developed cardiovascular collapse. He was managed successfully by creation of an extra anatomic conduit from ascending aorta to bilateral femoral arteries followed by excision of the original prosthetic graft. (Ind J Thorac Cardiovasc Surg, 20078; 24: 28-31)

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Infected Prosthetic Grafts

Cited by 67 publications

References 16 publications

Periaortic endograft infection due to Listeria monocytogenes treated with graft preservation

Periaortic endograft infection due to Listeria monocytogenes treated with graft preservation

Aortic Graft Complicated by a Corynebacterium Striatum Infection Due to Previous Type IV Thoraco Abdominal Aortic Aneurysm Repair

Management of a case of infected thoracic aorta prosthesis with creation of extra anatomic conduit from ascending aorta to bilateral femoral arteries

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