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Fate of aortic graft removal
American Journal of Surgery
|August 1, 1983
Summary
Graft infection necessitates reoperation, often due to gram-negative bacteria. Current removal methods have high amputation and mortality rates, indicating a need for new strategies like autogenous reconstruction.
Area of Science:
- Vascular Surgery
- Infectious Disease
Background:
- Aortic graft infection is a serious complication.
- Reoperation is frequently required for aortic graft removal.
Purpose of the Study:
- To evaluate outcomes of reoperation for aortic graft removal.
- To identify challenges and potential improvements in managing aortic graft infections.
Main Methods:
- Retrospective review of 18 patients undergoing reoperation for aortic graft removal.
- Analysis of causative organisms and surgical techniques.
- Assessment of amputation and mortality rates.
Main Results:
- Infection was the primary indication for reoperation in most cases.
- A shift in microbial flora, with a predominance of gram-negative organisms, was observed.
- Standardized treatment involving graft removal, aortic closure, and extraanatomic reconstruction resulted in high amputation and mortality rates.
Conclusions:
- Current management strategies for aortic graft infection are associated with high morbidity and mortality.
- Novel approaches are required to improve patient outcomes.
- Further investigation into autogenous reconstruction techniques is warranted.