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Treatment for aortic graft infection
T Ohta1, M Hosaka, H Ishibashi
1Second Department of Surgery, Aichi Medical University, Nagakute, Japan.
Surgery Today
|February 24, 2001
Summary
Aortic graft infection, a rare complication, requires complete graft excision and maintaining blood flow. Treatment selection must be individualized for best patient outcomes.
Area of Science:
- Vascular Surgery
- Infectious Diseases
Background:
- Aortic graft infection is a serious complication following aortic grafting procedures.
- The incidence of aortic graft infection in this study was 1.5%.
Observation:
- Nine patients with aortic graft infections were analyzed.
- Common presentations included paraprosthetic infection and aortointestinal fistulas.
- Treatments varied, including graft excision with bypass, excision alone, or graft preservation.
Findings:
- Complete graft excision combined with axillofemoral bypass was performed in six patients.
- Early postoperative mortality was 11.1%.
- Complications included aortoduodenal fistula and graft thrombosis.
Implications:
- Complete graft excision and maintaining distal perfusion are crucial for managing aortic graft infections.
- Individualized treatment strategies are essential, considering patient condition and surgical feasibility.