Late Leakage of the Aortic Stump After Removal of an Infected Graft: Successful Surgical Treatment.
The residual stump after excision of an infected aortic graft may be subject to acute blowout due to chronic mechanical stress on a weak arterial wall. We present a case of late aortic stump disruption that required revision after 12 months from graft removal. Our strategy consisted of avoiding reexposure of the pararenal aorta by creating a new supraceliac stump with healthy aortic wall after antegrade visceral debranching. This case confirms the need for long-term surveillance of aortic stumps. The use of a supraceliac approach minimizes the risk of intraoperative blowout and postoperative disruption.
Azienda Ospedaliera "Spedali Civili di Brescia", U.O. Chirurgia I, Brescia, Lombardia, Italy Università degli studi di Brescia Università degli studi di Milano.
Bonardelli
B
Stefano
Azienda Ospedaliera "Spedali Civili di Brescia", U.O. Chirurgia I, Brescia, Lombardia, Italy.
Nodari
N
Franco
Azienda Ospedaliera "Spedali Civili di Brescia", U.O. Chirurgia I, Brescia, Lombardia, Italy.
Botteri
B
Emanuele
Azienda Ospedaliera "Spedali Civili di Brescia", U.O. Chirurgia I, Brescia, Lombardia, Italy Università degli studi di Milano iacopo.barbetta@gmail.com.
Barbetta
B
Iacopo
D000368:Aged; D001011:Aorta / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D020878:Device Removal / Q000009:adverse effects*; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome
aortic stump; aortic stump blowout; aortic stump follow-up; aortic stump revision; supraceliac aortic stump