Abstract
While the incidence of endograft infection is very low, the treatment is difficult when it occurs. We herein present the case of a 52-year-old male who had undergone a graft replacement in the proximal descending thoracic aorta for dissected aortic aneurysm (DA) 6 years previously and hybrid surgery 2 years previously, which consisted of an abdominal graft replacement, visceral and renal debranching surgery and endovascular surgery for a ruptured abdominal DA and residual thoracoabdominal DA. Following collapse from septic shock due to an endograft infection, we performed an in situ reconstruction of the entire thoracoabdominal aorta following intensive antibiotic therapy and 2 preoperative CT-guided percutaneous interventions. He was discharged 4 weeks after the surgery without any complications.
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Cernohorsky P, Reijnen MM, Tielliu IF, van Sterkenburg SM, van den Dungen JJ, Zeebregts CJ. The relevance of aortic endograft prosthetic infection. J Vasc Surg. 2011;54:327–33.
Chiesa R, Tshomba Y, Kahlberg A, Marone EM, Civilini E, Coppi G, et al. Management of thoracic endograft infection. J Cardiovasc Surg (Torino). 2010;51:15–31.
Numan F, Gulsen F, Solak S, Cantasdemir M. Management of endograft infections. J Cardiovasc Surg (Torino). 2010;52:205–23.
Igari K, Kudo T, Toyofuku T, Jibiki M, Sugano N, Inoue Y. Treatment strategies for aortic and peripheral prosthetic graft infection. Surg Today. 2014;44(3):466–71.
Saleem BR, Berger P, Zeebregts CJ, Slart RH, Verhoeven EL, van den Dungen JJ. Periaortic endograft infection due to Listeria monocytogenes treated with graft preservation. J Vasc Surg. 2008;47:635–7.
Bruggink JL, Slart RH, Pol JA, Reijnen MM, Zeebregts CJ. Current role of imaging in diagnosing aortic graft infections. Semin Vasc Surg. 2010;24:182–90.
O’Connor S, Andrew P, Batt M, Becquemin JP. A systematic review and meta-analysis of treatments for aortic graft infection. J Vasc Surg. 2006;44:38–45.
Earnshaw JJ. The current role of rifampicin-impregnated grafts: pragmatism versus science. Eur J Vasc Endovasc Surg. 2000;20:409–12.
Lachapelle K, Graham AM, Symes JF. Antibacterial activity, antibiotic retention, and infection resistance of a rifampin-impregnated gelatin-sealed Dacron graft. J Vasc Surg. 1994;19:675–82.
Sasaki Yuki. The in vitro research of bacterial invasion of prosthetic vascular grafts: comparison of elastomer-sealed and gelatin-coated Dacron vascular grafts. Surg Today. 2014;44(8):1542–7.
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Yamasaki, M., Abe, K., Misumi, H. et al. Endograft infection after hybrid surgery for chronic Stanford type B aortic dissection: endograft infection and treatment. Surg Today 45, 1575–1578 (2015). https://doi.org/10.1007/s00595-015-1148-9
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DOI: https://doi.org/10.1007/s00595-015-1148-9