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Published on: March 28, 2025
Multiple infected aortic aneurysms repaired by staged in situ graft replacement
Yusuke Ando1, Kazuhiro Kurisu, Manabu Hisahara
1Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Bashaku, Kokurakita-ku, Kitakyushu, Fukuoka, Japan.
Abstract:
The development of multiple infected aortic aneurysms is extremely rare, and treatment remains challenging. We report here a 72-year-old man with multiple infected aortic aneurysms in whom a staged in situ graft replacement for the aortic arch and pararenal abdominal aorta was successfully performed. A rifampicin-bonded graft seemed to be effective in preventing postoperative infection. Perioperative control of infection played a key role in the patient's surviving this critical condition.
Insights
Multiple infected aortic aneurysms are rare and difficult to treat. This case study shows successful staged in situ graft replacement and highlights the importance of infection control for patient survival.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Vascular Surgery
Background:
- Multiple infected aortic aneurysms represent a rare and complex clinical challenge.
- Standard treatment protocols for such conditions are not well-established, necessitating case-specific approaches.
Observation:
- A 72-year-old male presented with multiple infected aortic aneurysms.
- The patient underwent a staged in situ graft replacement procedure involving the aortic arch and pararenal abdominal aorta.
Findings:
- The staged in situ graft replacement was technically successful, leading to a positive patient outcome.
- The use of a rifampicin-bonded graft appeared to be effective in preventing post-operative infections.
- Meticulous perioperative infection control was crucial for the patient's survival.
Implications:
- This case demonstrates a viable surgical strategy for managing extensive infected aortic aneurysms.
- Rifampicin-bonded grafts may offer a protective benefit against graft infection in complex aortic reconstructions.
- Aggressive infection management is paramount for successful outcomes in patients with infected aortic aneurysms.
