title: Endograft infection after hybrid surgery for chronic Stanford type B aortic dissection: endograft infection and treatment.
abstract: While the incidence of endograft infection is very low, the treatment is difficult when it occurs. We herein present the case of a 52-year-old male who had undergone a graft replacement in the proximal descending thoracic aorta for dissected aortic aneurysm (DA) 6 years previously and hybrid surgery 2 years previously, which consisted of an abdominal graft replacement, visceral and renal debranching surgery and endovascular surgery for a ruptured abdominal DA and residual thoracoabdominal DA. Following collapse from septic shock due to an endograft infection, we performed an in situ reconstruction of the entire thoracoabdominal aorta following intensive antibiotic therapy and 2 preoperative CT-guided percutaneous interventions. He was discharged 4 weeks after the surgery without any complications.
authors.affiliation: Department of Cardiovascular Surgery, St. Luke's International Hospital, 9-1 Akashicho, Chuoku, Tokyo, 104-8560, Japan. manayama@luke.ac.jp.
authors.forename: Manabu
authors.initials: M
authors.lastname: Yamasaki
authors.affiliation: Department of Cardiovascular Surgery, St. Luke's International Hospital, 9-1 Akashicho, Chuoku, Tokyo, 104-8560, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Abe
authors.affiliation: Department of Cardiovascular Surgery, St. Luke's International Hospital, 9-1 Akashicho, Chuoku, Tokyo, 104-8560, Japan.
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Misumi
authors.affiliation: Department of Cardiovascular Surgery, St. Luke's International Hospital, 9-1 Akashicho, Chuoku, Tokyo, 104-8560, Japan.
authors.forename: Joji
authors.initials: J
authors.lastname: Ito
authors.affiliation: Department of Cardiovascular Surgery, St. Luke's International Hospital, 9-1 Akashicho, Chuoku, Tokyo, 104-8560, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Nakanishi
authors.affiliation: Department of Cardiovascular Surgery, St. Luke's International Hospital, 9-1 Akashicho, Chuoku, Tokyo, 104-8560, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Kawazoe
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D002908:Chronic Disease; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000601:surgery*; D015607:Stents; D025321:Surgery, Computer-Assisted / Q000379:methods; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Aortic operation (operation on the aorta); Endovascular procedures/stents; PCI