Late infection of an endovascular stent graft with septic embolization, colonic perforation, and aortoduodenal fistula.
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.
Ghosh
Jonathan
J
Department of Vascular Surgery, Manchester Royal Infirmary, Manchester, UK.
Murray
David
D
Khwaja
N
N
Murphy
Michael O
MO
Halka
Anatassi
A
Walker
Michael G
MG
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*