Abstract
A 30-year-old man with Marfan syndrome who underwent Crawford type II extension aneurysm repair about 9 years ago was referred to our hospital with persistent fever. Computed tomography (CT) showed air around the mid-descending aortic prosthetic graft. Because the air did not disappear in spite of intravenous antibiotics, 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) was performed. FDG-PET/CT revealed four high-uptake lesions. After dissecting the aortic graft particularly focusing on the high-uptake lesions, this patient underwent in situ graft re-replacement of descending aortic graft with a rifampicin-bonded gelatin-impregnated Dacron graft and omentopexy. The patient remains well without recurrent infection at 3 months after surgery.
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Katsuhiro Yamanaka and other co-authors have no conflict of interest.
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Yamanaka, K., Matsueda, T., Miyahara, S. et al. Surgical strategy for aortic prosthetic graft infection with 18F-fluorodeoxyglucose positron emission tomography/computed tomography. Gen Thorac Cardiovasc Surg 64, 549–551 (2016). https://doi.org/10.1007/s11748-014-0516-5
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DOI: https://doi.org/10.1007/s11748-014-0516-5