Vnitr Lek 2017, 63(2):133-137 | DOI: 10.36290/vnl.2017.025

Conservative treatment of late aortic graft infection

Peter Baľa^1,*, Kamil Zeman¹, Renata Kološová¹, Ivo Pavlas¹, Dušan Kučera²

¹ Interní oddělení Nemocnice ve Frýdku-Místku, p.o.

² Vaskulární centrum Vítkovické Nemocnice, a.s., Ostrava

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.

Keywords: antibiotic therapy; aortic graft infection; conservative treatment

Received: November 13, 2016; Accepted: December 28, 2016; Published: February 1, 2017  Show citation