Surgical Treatment for an Endovascular Stent Infection in the Descending Aorta

We report a rare case with infection of a stent-graft. A 82-year-old man, who had undergone endovascular stent grafting to repair the descending aortic aneurysm 2 years previously, was admitted with high-grade fever. The blood culture detected methicillin-resistant Staphylococcus aureus (MRSA). Endo...

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Veröffentlicht in:Japanese Journal of Cardiovascular Surgery 2006/01/15, Vol.35(1), pp.33-36
Hauptverfasser: Obata, Shogo, Komiya, Tatsuhiko, Tamura, Nobushige, Sakaguchi, Genichi, Masuyama, Shinji, Kimura, Chieri, Kobayashi, Taira, Nakamura, Hiromasa
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container_end_page 36
container_issue 1
container_start_page 33
container_title Japanese Journal of Cardiovascular Surgery
container_volume 35
creator Obata, Shogo
Komiya, Tatsuhiko
Tamura, Nobushige
Sakaguchi, Genichi
Masuyama, Shinji
Kimura, Chieri
Kobayashi, Taira
Nakamura, Hiromasa
description We report a rare case with infection of a stent-graft. A 82-year-old man, who had undergone endovascular stent grafting to repair the descending aortic aneurysm 2 years previously, was admitted with high-grade fever. The blood culture detected methicillin-resistant Staphylococcus aureus (MRSA). Endoleak due to stent-graft infection was diagnosed and operation for synthetic graft replacement was performed. The synthetic graft was infiltrated in Rifampicin prior to the graft replacement to prevent re-infection. Additionally, the graft was covered with the greater omentum. He was discharged on the 45th day after surgery without any problems. One year follow-up showed no sign of re-infection of the graft.
doi_str_mv 10.4326/jjcvs.35.33
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A 82-year-old man, who had undergone endovascular stent grafting to repair the descending aortic aneurysm 2 years previously, was admitted with high-grade fever. The blood culture detected methicillin-resistant Staphylococcus aureus (MRSA). Endoleak due to stent-graft infection was diagnosed and operation for synthetic graft replacement was performed. The synthetic graft was infiltrated in Rifampicin prior to the graft replacement to prevent re-infection. Additionally, the graft was covered with the greater omentum. He was discharged on the 45th day after surgery without any problems. 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title Surgical Treatment for an Endovascular Stent Infection in the Descending Aorta
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