Endograft infection after hybrid surgery for chronic Stanford type B aortic dissection: endograft infection and treatment

Surgery Today
Manabu YamasakiKohei Kawazoe

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.

References

Dec 9, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J J Earnshaw
Jul 11, 2006·Journal of Vascular Surgery·Stephen O'ConnorJean Pierre Becquemin
Feb 26, 2008·Journal of Vascular Surgery·Ben R SaleemJan J van den Dungen
Mar 15, 2011·Journal of Vascular Surgery·Paul CernohorskyClark J Zeebregts
Jan 11, 2012·Seminars in Vascular Surgery·Janneke L M BrugginkClark J Zeebregts
Apr 6, 2013·Surgery Today·Kimihiro IgariYoshinori Inoue

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Citations

Apr 25, 2018·The Journal of Cardiovascular Surgery·Konstantinos Spanos, Tilo Kölbel
Jan 5, 2019·Journal of Vascular Surgery·Andrea KahlbergRoberto Chiesa

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