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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Massive prosthetic aortic abscess: an overarching plight 7 years post-Bentall's procedure

Michael McCann1, Nikki Stamp1, Robert Larbalestier1

  • 1Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, Perth, Western Australia, Australia.

BMJ Case Reports
|September 9, 2019
PubMed

Insights

A rare Staphylococcus aureus infection of a proximal aortic graft occurred 7 years post-surgery. Despite initial medical treatment, urgent surgery was required for successful graft reimplantation and patient recovery.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Proximal aortic graft infections are severe complications following aortic surgery.
  • High mortality and reinfection rates persist despite current treatment protocols.

Observation:

  • A 71-year-old male presented with a large Staphylococcus aureus periprosthetic abscess 7 years after a modified Bentall procedure.
  • Initial treatment with high-dose intravenous flucloxacillin and oral rifampicin failed to resolve the abscess.

Findings:

  • The patient underwent urgent surgical excision and graft reimplantation.
  • Successful surgical intervention led to complete recovery and independence.

Implications:

  • This case highlights the potential for late-presenting aortic graft infections.
  • Successful management of complex aortic graft infections may be achieved through timely surgical intervention.
  • Further research into novel antimicrobial strategies and graft materials is warranted.
Keywords:
cardiothoracic surgeryinfections

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