scholarly journals A case report of a unique aorto-bifemoral graft infection and its treatment

2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
Hatim Yahya Uslu ◽  
Halil Kurt
Keyword(s):  
Hypochlorous Acid ◽  
Graft Infection ◽  
High Morbidity ◽  
Proximal Jejunum ◽  
Unique Case ◽  
Mortality Risks ◽  
Abdominal Aortic ◽  
Acid Irrigation ◽  
Cardiovascular Center ◽  
Tomography Scan

Abstract In this study, we report a unique case of aorto-bifemoral graft infection, which developed in a 47-year-old male patient after endovascular aortic aneurysmal repair (EVAR) and extra anatomic axillo-femoral bypass. The patient had previously been treated by EVAR for an infrarenal abdominal aortic aneurysm. Earlier, the EVAR was blocked by a thrombosis and treated with an extra-anatomic axillo femoral bypass, which then became occluded. The patient was then treated with an aorto-bifemoral bypass using a Dacron Y graft. A few months later, he was referred to our cardiovascular center with high body temperature, weight loss, inability to stand and walk, and very serious sepsis. A computed abdominal tomography scan revealed that a part of the graft proximal to the bifurcation had totally eroded into the proximal jejunum. We treated this patient with multiple surgeries, antibiotic administrations and hypochlorous acid irrigation without graft excision, which carries a high morbidity and mortality risks.

scholarly journals Cryopreserved arterial allografts for in situ reconstruction of abdominal aortic native or secondary graft infection

2018 ◽  
Vol 67 (2) ◽  
pp. 468-477 ◽  
Author(s):  
Sabrina Ben Ahmed ◽  
Adrien Louvancourt ◽  
Guillaume Daniel ◽  
Pierre Combe ◽  
Ambroise Duprey ◽  
...  
Keyword(s):  
Graft Infection ◽  
In Situ Reconstruction ◽  
Abdominal Aortic

Inflation Testing as a Means of Measuring Failure Strength of Aortic Tissue

2003 ◽  
Author(s):  
Jeffrey N. Kinkaid ◽  
Steven P. Marra ◽  
Francis E. Kennedy ◽  
Mark F. Fillinger
Keyword(s):  
United States ◽  
Abdominal Aortic Aneurysms ◽  
The United States ◽  
Aortic Aneurysms ◽  
Aortic Tissue ◽  
Failure Strength ◽  
Health Statistics ◽  
Mortality Risks ◽  
Abdominal Aortic ◽  
Risk Of Rupture

Abdominal Aortic Aneurysms (AAAs) are localized enlargements of the aorta. If untreated, AAAs will grow irreversibly until rupture occurs. Ruptured AAAs are usually fatal and are a leading cause of death in the United States, killing 15,000 per year (National Center for Health Statistics, 2001). Surgery to repair AAAs also carries mortality risks, so surgeons desire a reliable tool to evaluate the risk of rupture versus the risk of surgery.

Aortic graft infection and mycotic aneurysm with Streptococcus equi zooepidemicus: two cases with favorable outcome of antibiotic treatment

Vascular ◽  
2012 ◽  
Vol 21 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Martin Altreuther ◽  
Conrad Lange ◽  
Hans Olav Myhre ◽  
Raisa Hannula
Keyword(s):  
Graft Infection ◽  
Endovascular Aneurysm Repair ◽  
Prolonged Treatment ◽  
Animal Products ◽  
Open Operation ◽  
Abdominal Aortic ◽  
Streptococcus Equi ◽  
Aortic Graft Infection ◽  
Aneurysm Repair

Infections with Streptococcus equi zooepidemicus are rare and are associated with contact with animals or animal products. There are very few reports about infected vascular grafts or aneurysms with this etiology. We present two patients. The first is a 77-year-old man with an infected bifurcated graft four years after an open operation for an abdominal aortic aneurysm (AAA). The second is a 72-year-old man with a symptomatic mycotic AAA, treated with endovascular aneurysm repair. Both received prolonged treatment with bactericidal antibiotics and responded well. Follow-up time at present is 5.5 years for the first, and 4.5 years for the second, patient.

Diagnostic orientation of abdominal aortic graft infection using 18F-FDG PET/CT

2020 ◽  
Vol 220 (1) ◽  
pp. 71-72
Author(s):  
P.A. de la Riva-Pérez ◽  
F.J. García-Gómez ◽  
G. Sabatel-Hernández
Keyword(s):  
Fdg Pet ◽  
Graft Infection ◽  
Aortic Graft ◽  
Abdominal Aortic ◽  
Pet Ct ◽  
Aortic Graft Infection ◽  
18F Fdg ◽  
Fdg Pet Ct

Management and Outcome of Prosthetic Vascular Graft Infections: A Single Center Experience

2018 ◽  
Vol 52 (3) ◽  
pp. 181-187 ◽  
Author(s):  
Maxime Elens ◽  
Muzhakkir Dusoruth ◽  
Parla Astarci ◽  
Stefano Mastrobuoni ◽  
Michel J. Bosiers ◽  
...  
Keyword(s):  
Vascular Graft ◽  
Graft Infection ◽  
Prosthetic Graft ◽  
Long Term Results ◽  
High Morbidity ◽  
Vascular Graft Infection ◽  
Complete Excision ◽  
Single Center Experience ◽  
Initial Surgery ◽  
Prosthetic Vascular Graft Infection

Background: Prosthetic vascular graft infection (PVGI) remains a severe and challenging complication in vascular surgery with high morbidity and mortality rates. Incidence has been reported between 1% and 6%. The aim of this study was to report our experience in terms of general and surgical management as well as outcome, over 15 years. Methods: A retrospective consecutive study was conducted of all patients treated in our department for PVGI between January 2000 and December 2015. We analyzed all data relative to primary operation, duration interval between initial surgery and infections signs, infection site, type of microorganism involved, and surgical treatment modality, as well as evaluation of short- and long-term results. Results: Sixty-two patients were admitted for PVGI. Primary revascularization procedures consisted of a peripheral bypass in 42 (68%) patients and an aortic bypass in the remaining 20 (32%) patients. Median interval between primary procedure and reintervention was 3 months (interquartile range 17 [IQR 17]) in the peripheral group and 48 months (IQR 70.5) in the aortic group. Complete excision of the prosthetic graft was carried out in 85% of the cases. Thirty-day mortality was 0% and 9.5% in the aortic and peripheral group, respectively. The overall survival rate was 62.3% at 2-years, 46.4% in the aortic group, and 69.7% in the peripheral group. Conclusions: Prosthetic vascular graft infection needs a multidisciplinary management with appropriate antibiotherapy, radical removal of the infected graft, and in situ reconstruction. This strategy gives satisfactory results in terms of mortality, morbidity, patency rates, and infection control.

The Use of Rapid Endovascular Balloon Occlusion in Unstable Patients with Ruptured Abdominal Aortic Aneurysm

2009 ◽  
Vol 4 (2) ◽  
pp. 74-79 ◽  
Author(s):  
Tine E. Philipsen ◽  
Jeroen M. Hendriks ◽  
Patrick Lauwers ◽  
Maurits Voormolen ◽  
Olivier d'Archambeau ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Balloon Occlusion ◽  
Open Group ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Abdominal Aortic ◽  
Valuable Treatment ◽  
Endovascular Balloon Occlusion ◽  
Tomography Scan

Objective To present our results and demonstrate advantages of rapid endovascular balloon occlusion (REBO) of the juxtarenal aorta in unstable patients with ruptured abdominal aortic aneurysm (rAAA). Methods Since 2006, all unstable patients with rAAA are immediately transferred to the operating room (OR). No computed tomography scan is performed once diagnosis is made on ultrasound examination. Instability is defined as systolic blood pressure less than 60 mm Hg, unconsciousness, cardiac ischemia, or intubation. Once arrived in the OR, a Reliant aortic balloon is introduced and inflated at the level of the renal arteries. Subsequently, an angiogram is made through the contralateral femoral artery in order to decide between open or endovascular repair (EVAR). Results Twelve patients with rAAA were defined as unstable. REBO was installed within 10 minutes after arrival in the OR. Aortic occlusion resulted in immediate hemodynamic stability. Five patients were suitable for EVAR. Seven patients had open repair. For these abdominal dissection was more careful since no instability was encountered. All patients survived the procedure except one. Mean stay on intensive care unit was 19.7 days for open group and 8.4 for EVAR. Conclusions REBO of the juxtarenal abdominal aorta by pc technique in unstable patients with rAAA resulted in a 17% 30-day mortality and a 100% 1-year event-free follow-up for survivors. With this technique, EVAR exclusion is still a valuable treatment. Exposure and decision making for the open group is easier to perform with less risk for additional damaging to neighboring structures during dissection since urgent cross-clamping is not necessary.

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