title: Late endovascular aneurysm repair infection presenting with juxatrenal aortic rupture treated with in situ aortic replacement.
abstract: Infection of an endovascular abdominal aneurysm repair (EVAR) is rare but has become more prevalent with the standardization of EVAR for treating infrarenal abdominal aortic aneurysms. The understanding of this complex aortic condition has improved but still remains to evolve. We present a patient with an EVAR infection manifesting with juxtarenal aortic rupture as a result of a urinary tract infection. This report describes an unusual presentation of an EVAR infection treated with in situ aortic reconstruction and provides >1 year of follow-up.
authors: Department of Surgery, Division of Vascular Surgery, The Edith and Benson Ford Cardiovascular Institute, Henry Ford Hospital, Detroit, Mich., USA. cwest5@hfhs.org
authors: Charles A
authors: CA
authors: West
authors: Joseph
authors: J
authors: Karam
authors: Chad
authors: C
authors: Poopat
authors: Alexander D
authors: AD
authors: Shepard
authors: Timothy J
authors: TJ
authors: Nypaver
authors: Mitchell
authors: M
authors: Weaver
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D003646:Debridement; D020878:Device Removal; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D004926:Escherichia coli / Q000302:isolation & purification; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents