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Infection of an aortic stent graft with suprarenal fixation

Glenn P Gardner1, Marvin E Morris, Benjamin Makamson

  • 1Department of Surgery, University of Missouri Columbia, Columbia, Missouri 65212, USA. gardnergp@health.missouri.edu

Annals of Vascular Surgery
|December 29, 2009
PubMed

Insights

A case of infected stent graft after endovascular aortic aneurysm repair is presented. Successful explantation and revascularization led to patient recovery, highlighting management strategies for this rare complication.

Area of Science:

  • Vascular Surgery
  • Infectious Disease
  • Medical Case Study

Background:

  • Endovascular aortic aneurysm repair (EVAR) is a common treatment for abdominal aortic aneurysms.
  • Infection of endovascular grafts is a rare but serious complication.
  • Early diagnosis and management are crucial for favorable outcomes.

Observation:

  • An elderly male presented with abdominal pain and fever 5 months post-EVAR for a suspected inflammatory abdominal aortic aneurysm.
  • Imaging revealed an infected stent graft with suprarenal fixation.
  • The patient underwent successful explantation of the infected graft and extra-anatomic revascularization.

Findings:

  • The patient experienced a prolonged hospitalization but ultimately recovered.
  • Discharge on antibiotics and follow-up showed a return to baseline activity.
  • Literature review suggests specific management approaches can reduce morbidity and mortality.

Implications:

  • This case underscores the importance of considering graft infection in patients with delayed symptoms after EVAR.
  • Prompt surgical intervention, including graft explantation and revascularization, is key to successful treatment.
  • Further research into risk factors and optimal management strategies for EVAR infections is warranted.

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