Aortic endograft infection: open surgical management with endograft preservation.
BACKGROUND
We report successful management of aortic endograft infection without graft explantation or extra-anatomic bypass.


METHODS
A 66 year-old male who had undergone endovascular repair of an aortic aneurysm presented with abdominal pain and raised inflammatory markers following embolisation of a type-2 'endoleak'. CT scanning revealed a left psoas fluid collection. Endograft infection was diagnosed. Following failure of CT-guided drainage and conservative management, surgical drainage with irrigation drain placement was undertaken with preservation of the endograft. There was no evidence of recurrent infection after follow-up at 30 months.


CONCLUSIONS
Aortic endograft infection may be managed without endograft removal and extra-anatomic bypass.
Hulin
S J
SJ
Department of Vascular Surgery, Southampton General Hospital, Southampton, Hants, UK. sjhulin@ntlworld.com
Morris
G E
GE
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D004322:Drainage / Q000379:methods; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D015607:Stents / Q000009:adverse effects*; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D019533:Streptococcus oralis / Q000187:drug effects / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents