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Abdominal aortic endograft infection with Clostridium difficile

Cara A Lyle1, Francis J Caputo1

  • 1Department of Vascular Surgery, 2569Cleveland Clinic, Cleveland, OH, USA.

Vascular
|November 29, 2021
PubMed
Abstract

Insights

A rare aortic endograft infection caused by Clostridium difficile was successfully treated with surgical explant and graft replacement. This case highlights the importance of aggressive management for infected aortic endografts.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Medical Device Infections

Background:

  • Endovascular aortic aneurysm repair (EVAR) is increasingly common.
  • Aortic endograft infections are a growing concern.
  • Atypical pathogens are emerging in these infections.

Observation:

  • A case of Clostridium difficile infection of an aortic endograft is presented.
  • The patient was an 82-year-old male, 3 years post-EVAR.
  • The infection was confirmed by positive Clostridium difficile cultures.

Findings:

  • The patient underwent successful open surgical explant of the infected endograft.
  • In-situ repair was performed using a rifampin-soaked Dacron graft.
  • The patient has recovered well following the intervention.

Implications:

  • Aortic endograft infections pose a significant management challenge.
  • Surgical explant and reconstruction are crucial for favorable outcomes.
  • Non-operative management is associated with high mortality rates.
Keywords:
Clostridium difficileabdominal aortic aneurysmaortic endograft infection

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