title: Clostridium septicum post-endovascular aneurysm repair stent-graft infection.
abstract: Endovascular aortic aneurysm repair (EVAR) is establishing its role as a valid alternative for the treatment of abdominal aortic aneurysm. Post-EVAR graft infection is a rare and devastating complication. The incidence of post-EVAR graft infection is yet to be defined, and available data at this stage consist of case reports and small series. Possible etiologies for aortic stent-graft infection include perioperative contamination and hematogenous seeding. To the best of our knowledge, this is the first report of post-EVAR stent graft infection with Clostridium septicum. The possible mechanisms of this unusual hematogenous seeding have been discussed.
authors.affiliation: Department of Vascular Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Moshe
authors.initials: M
authors.lastname: Halak
authors.forename: Eitan
authors.initials: E
authors.lastname: Heldenberg
authors.forename: Daniel
authors.initials: D
authors.lastname: Silverberg
authors.forename: Jacob
authors.initials: J
authors.lastname: Schneiderman
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D003015:Clostridium Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D052557:Clostridium septicum / Q000302:isolation & purification*; D020878:Device Removal; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents