title: Late infection of an endovascular stent graft with septic embolization, colonic perforation, and aortoduodenal fistula.
abstract: We report on a 52-year-old male who developed late stent graft infection resulting in infective aneurysm formation with systemic septic embolization and aortoduodenal fistulation 9 months following endoluminal repair of an abdominal aortic aneurysm. Although endoluminal stent graft infection and erosion into surrounding viscera is rare, we highlight the need for awareness of this potentially catastrophic complication.
authors.affiliation: Department of Vascular Surgery, Manchester Royal Infirmary, Manchester, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Ghosh
authors.forename: David
authors.initials: D
authors.lastname: Murray
authors.forename: N
authors.initials: N
authors.lastname: Khwaja
authors.forename: Michael O
authors.initials: MO
authors.lastname: Murphy
authors.forename: Anatassi
authors.initials: A
authors.lastname: Halka
authors.forename: Michael G
authors.initials: MG
authors.lastname: Walker
mesh_terms: D000785:Aneurysm, Infected / Q000382:microbiology*; D017130:Angioplasty; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D021902:Enterobacter aerogenes / Q000302:isolation & purification*; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology; D007416:Intestinal Perforation / Q000209:etiology; D007710:Klebsiella Infections / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000382:microbiology*; D018805:Sepsis / Q000209:etiology; D015607:Stents / Q000009:adverse effects*