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Explantation of an Infected Fenestrated Abdominal Endograft with Autologous Venous Reconstruction
C Terry1, S Houthoofd1, G Maleux2
1Department of Vascular Surgery, University Hospitals Leuven, Leuven, Belgium.
Introduction:
Infectious complications after FEVAR cause significant problems, with radical surgery considered to be the last resort for treatment.
Case Report:
A 72 year old man presented with infection 1 month after FEVAR. Conservative therapy with percutaneous abscess drainage and antibiotics suppressed the infection for 10 months; however, when new peri-aortic abscesses developed, the patient agreed to revision surgery. The endograft was explanted and an autologous in situ venous reconstruction was performed. As a result of post-operative complications, the patient died 3 days later.
Conclusion:
This study demonstrates that autologous venous reconstruction is technically feasible. An earlier decision on such radical surgery could potentially have improved the patient's chances of survival.
