Resolution of type 1a endoleak in infected endograft using antibiotics: A case report

Aortic endograft infections are associated with significant morbidity and mortality, and must be managed promptly. The definitive treatment is surgical explantation, however conservative approaches using percutaneous intervention have been shown to be successful in some cases. Notably, there is no documented case of an infected EVAR and subsequent endoleak that was managed solely by antibiotics. We present a case of a 91 year old male with an infected endograft and subsequent type 1a endoleak. He was not a surgical candidate, and a conservative approach to management was taken. Remarkably, after prolonged antibiotic therapy, both the infection and the type 1a endoleak resolved. This case suggests treating the primary endograft infection in nonsurgical candidates may also lead to the resolution of associated endoleaks. Further research is needed to understand the potential of antibiotics alone in similar cases.