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08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Endograft infection presenting as a ruptured aortic aneurysm
Jean Starr1, Gregory Walker, Patrick Vaccaro
1Department of Surgery, Ohio State University, Columbus, OH 43210, USA. jean.starr@osumc.edu
Annals of Vascular Surgery
|October 31, 2009
Summary
Endograft infections are rare but can lead to serious complications like aneurysm sac rupture. Prompt evaluation of endografts is crucial for patients with abdominal symptoms.
Area of Science:
- Vascular Surgery
- Infectious Diseases
Background:
- Aortic endograft procedures, such as endovascular aortic repair (EVAR), are increasingly common for treating aortic aneurysms.
- Infection of endografts is a rare but serious complication, occurring in less than 0.5% of cases.
Observation:
- This report details a case of late endograft infection following EVAR, which led to aneurysm sac rupture.
- Literature review indicates that rupture of an aneurysm sac secondary to endograft infection is exceptionally uncommon, with only one prior case reported.
Findings:
- Late endograft infection can manifest with severe complications, including rupture of the aortic aneurysm sac.
- The pathogenesis of endograft infection includes intraoperative contamination, hematogenous seeding, or contiguous spread.
Implications:
- This case underscores the critical need for vigilant evaluation of endografts in patients presenting with abdominal complaints.
- Early recognition and management of endograft infections are essential to prevent life-threatening events such as aneurysm rupture.
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