scholarly journals 705 Aortic Graft Infection Managed with Bovine Patch, A Case Report and Literature Review

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
T El-nakhal ◽  
S Eid ◽  
W Al-Jundi
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Vascular Surgery ◽  
Literature Search ◽  
Graft Infection ◽  
Aortic Graft ◽  
Aortic Graft Infection ◽  
Bovine Patch

Abstract Aim to describe good outcomes in a case with Aortic graft infection (AGI) managed with Bovine patch and outline management of AGI. Method Literature review utilising keywords ‘’Aortic graft infection’’AND’’Bovine Patch’’ revealed initially 1350 articles, all studies in English were included, all duplicates were removed, screening was performed using the PRISMA flow. To correlate with the findings, we followed up a 72-year-old patient who presented with aortic graft infection followed by graft explantation and a fashioned Bovine graft insertion and followed up for 1 year for any re-infection in the clinics. Results Literature search resulted 73 articles discussing the role of Bovine Patch as a choice in prevention of Aortic graft re-infection. In our case, there was no clinical nor radiological evidence of Bovine patch re-infection for over a year. Literature review showed that AGI is a rare but serious complication with mortality up to 60%.The main management is IV antibiotics, followed by graft explantation and consideration of re-implantation of various types of grafts. The European society of vascular surgery (ESVS) guidelines recommend re-implantation with an aortic antibiotic soaked graft, yet re-infection rate is quoted at 20%. however, in our case Bovine graft was free from re-infection at 1 year follow up. Conclusions IV anitbioics and explantation remain the mainstay for treatment of aortic grafts infection, however, there is increasing evidence that Bovine grafts show excellent freedom from re-infection at follow up. Hence, this might be the conduit of choice when performing such surgeries; however, more evidence is needed.

Aortic Graft Infection from Appendicitis. A Case Report

2004 ◽  
Vol 104 (4) ◽  
pp. 454-456
Author(s):  
P. Lauwers ◽  
K. De Greef ◽  
F. Van den Brande ◽  
J. Hendriks ◽  
M. De Maeseneer ◽  
...  
Keyword(s):  
Case Report ◽  
Graft Infection ◽  
Aortic Graft ◽  
Aortic Graft Infection

scholarly journals Mycotic Aneurysm by Saccharomyces cerevisiae-accompanying Ascending Aortic Graft Infection： A Case Report

2017 ◽  
Vol 91 (1) ◽  
pp. 31-35
Author(s):  
Tetsu MIZUTANI ◽  
Kiyofumi OHKUSU ◽  
Tsuneko TERACHI ◽  
Kana SAWA ◽  
Masahiro AKAGI
Keyword(s):  
Saccharomyces Cerevisiae ◽  
Case Report ◽  
Mycotic Aneurysm ◽  
Graft Infection ◽  
Aortic Graft ◽  
Aortic Graft Infection

The role of FDG PET/CT in therapy control of aortic graft infection

2018 ◽  
Vol 45 (11) ◽  
pp. 1987-1997 ◽  
Author(s):  
Lars Husmann ◽  
◽  
Bruno Ledergerber ◽  
Alexia Anagnostopoulos ◽  
Paul Stolzmann ◽  
...  
Keyword(s):  
Fdg Pet ◽  
Graft Infection ◽  
Aortic Graft ◽  
Therapy Control ◽  
Pet Ct ◽  
Aortic Graft Infection ◽  
Fdg Pet Ct

Aortic Graft Infection Secondary to Iatrogenic Transcolonic Graft Malposition

2018 ◽  
Vol 52 (5) ◽  
pp. 386-390
Author(s):  
Jacqueline J. Blank ◽  
Abby E. Rothstein ◽  
Cheong Jun Lee ◽  
Michael J. Malinowski ◽  
Brian D. Lewis ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Bypass Graft ◽  
Graft Infection ◽  
Preoperative Imaging ◽  
Sigmoid Colectomy ◽  
Acute Limb Ischemia ◽  
Bypass Grafting ◽  
Aortic Graft ◽  
Aortobifemoral Bypass ◽  
Aortic Graft Infection

Aortic graft infections are a rare but devastating complication of aortic revascularization. Often infections occur due to contamination at the time of surgery. Iatrogenic misplacement of the limbs of an aortobifemoral graft is exceedingly rare, and principles of evaluation and treatment are not well defined. We report 2 cases of aortobifemoral bypass graft malposition through the colon. Case Report: Case 1 is a 54-year-old male who underwent aortobifemoral bypass grafting for acute limb ischemia. He had previously undergone a partial sigmoid colectomy for diverticulitis. Approximately 6 months after vascular surgery, he presented with an occult graft infection. Preoperative imaging and intraoperative findings were consistent with graft placement through the sigmoid colon. Case 2 is a 60-year-old male who underwent aortobifemoral bypass grafting due to a nonhealing wound after toe amputation. His postoperative course was complicated by pneumonia, bacteremia thought to be secondary to the pneumonia, general malaise, and persistent fevers. Approximately 10 weeks after the vascular surgery, he presented with imaging and intraoperative findings of graft malposition through the cecum. Conclusions: Aortic graft infection is usually caused by surgical contamination and presents as an indolent infection. Case 1 presented as such; Case 2 presented more acutely. Both grafts were iatrogenically misplaced through the colon at the index operation. The patients underwent extra-anatomic bypass and graft explantation and subsequently recovered.

scholarly journals Mycobacterium tuberculosis aortic graft infection with recurrent hemoptysis: a case report

2008 ◽  
Vol 2 (1) ◽  
Author(s):  
Olivier Clerc ◽  
Katia Jaton ◽  
Guy Prod'hom ◽  
Ludwig Von Segesser ◽  
Vincent Greloz ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Graft Infection ◽  
Aortic Graft ◽  
Aortic Graft Infection

scholarly journals Late onset thoracic aortic graft infection: A case report

2015 ◽  
Vol 6 (6) ◽  
pp. 356
Author(s):  
Liran Shani ◽  
Yuval Geffen ◽  
Gil Bolotin ◽  
Ayelet Raz-Pasteur
Keyword(s):  
Case Report ◽  
Late Onset ◽  
Graft Infection ◽  
Aortic Graft ◽  
Aortic Graft Infection

scholarly journals SURGICAL MANAGEMENT AND BACTERIOLOGICAL OUTCOME OF INFRARENAL ABDOMINAL AORTIC GRAFT INFECTION AT A SINGLE CENTRE

2021 ◽  
Vol 8 (5) ◽  
pp. 25-29
Keyword(s):  
Graft Infection ◽  
Treatment Result ◽  
Secondary Outcome ◽  
Clinical Consequence ◽  
Secondary Outcome Measure ◽  
Infrarenal Aorta ◽  
Aortic Graft ◽  
Aortic Graft Infection

Aim: Primary outcome measures was to analyze the clinical consequence of patients who treated for infrarenal aorta synthetic graft infection ( SGI) with extra-anatomical bypass (axillobifemoral (AXF)) or in situ reconstruction (ISR). Secondary outcome measure was to show bacteriological analysis of abdominal aorta graft infection. Method: Analysis of medical records of 24 patients treated for SGI at Jordanian Royal Medical Services between June 2010 and Aug 2020 were retrospectively reviewed. For all patients, we recorded clinical features , morbidity and mortality , as well as bacteriology results, and antibiotic treatment . Result: We identified 24(3%) patients with SGI .The median follow up duration was 22 months range (8-84months). The median age was 52 years and 18 were males. An in situ prosthetic graft replacement, using rifampin-soaked polyester graft was performed in 10 patients(42%) and AXF in 14 patients((58%). The early hospital mortality rate was 4 (17 %.) owing to bowel ischemia 1 patient, 2 patients with septicemia and one patient with aortic stump blowout . There were no late procedure-related deaths during follow up period Primary patency and limb salvage rates at 3 years were 80 %(2 patients ) for ISR and 90%( 2 patients) for AXF. The incidence of graft reinfection was 10% (1 patient) for ISR and 8 %(2 patients) for AXF. Graft reinfection occurred in 3 patients (12.5%) was not associated with procedure-related death .Microbiology specimens obtained from the graft and the tissues were positive in 21 patients(88%). Poly microbial Gram-positive organisms were the most dominant bacteria found in 10 patients (42%). The mean length of hospital stay was 17 days . Conclusion: According to our study ISR and AXF is a safe and effective in treatment of aortic graft infection. Graft reinfection occurred in 12.5% of the patients. The graft patency and limb salvages rates were considered satisfactory.

Early abdominal aortic graft infection due to Propionibacterium acnes: a case report and review of the literature

2018 ◽  
Vol 30 (3) ◽  
pp. 185-188
Author(s):  
Carlo Pallotto ◽  
Gioele Simonte ◽  
Fabio Verzini ◽  
Massimo Lenti ◽  
Franco Baldelli ◽  
...  
Keyword(s):  
Case Report ◽  
Propionibacterium Acnes ◽  
Graft Infection ◽  
Aortic Graft ◽  
Review Of The Literature ◽  
Abdominal Aortic ◽  
Aortic Graft Infection
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