Conservative treatment of late aortic graft infection
Authors:
Peter Baľa 1; Kamil Zeman 1; Renata Kološová 1; Ivo Pavlas 1; Dušan Kučera 2
Authors‘ workplace:
Interní oddělení Nemocnice ve Frýdku-Místku, p. o.
1; Vaskulární centrum Vítkovické nemocnice, a. s., Ostrava
2
Published in:
Vnitř Lék 2017; 63(2): 133-137
Category:
Case Reports
Overview
Aortic graft infection is one of the most serious complications of aortovascular surgery. Diagnosis is based on clinical and radiologic findings. The emphasis is put on early diagnosis and its impact on prognosis of patients. The management should be individualized. The gold standard is surgical treatment with complete excision of the infected foreign material with debridement of the surrounding tissue and repair of vascular continuity by extra-anatomic bypass or in situ bypass with autologous femoral vein or cryopreserved arterial allografts. In stable patients with high risk perioperative mortality a conservative strategy may be an alternative approach. We report the case of a 54-year-old man with complicated history of aortic repair surgery. Diagnosis made on clinical findings and radiologic images (CT angiography of aorta and positron emission tomography/computed tomography). After multidisciplinary conference conclusion the conservative strategy was recommended.
Key words:
antibiotic therapy – aortic graft infection – conservative treatment
Sources
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Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
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