Aortic Graft Complicated by a Corynebacterium Striatum Infection Due to Previous Type IV Thoraco Abdominal Aortic Aneurysm Repair英文文献资料.docVIP

World Journal of Cardiovascular Surgery, 2011, 1, 5-10 doi:10.4236/wjcs.2011.12002 Published Online December 2011 (http://www.SciRP.org/journal/wjcs) Aortic Graft Complicated by a Corynebacterium Striatum Infection Due to Previous Type IV Thoraco Abdominal Aortic Aneurysm Repair Roberto Gabrielli , Maria Sofia Rosati , Giovanni Caselli , Alessandro Carra , Andrea Siani 1 2 1 1 1 1 Department of Vascular and Endovascular Surgery, “Policlinico Casilino”, Rome, Italy Department of Oncology Policlinico Umberto I, “Sapienza” University of Rome, Rome, Italy 2 E-mail: rogadoc@libero.it, sofiarosati@tiscali.it, giovannicaselli@virgilio.it, alexcarra@, rogavasc@ Received September 25, 2011; revised October 23, 2011; accepted November 2, 2011 Abstract We report successful management of aortic graft infection without graft explanation or extra-anatomic by- pass. A 61 year-old male who had undergone surgical repair of a type IV thoraco-abdominal aortic aneurysm presented with left flank pain and raised inflammatory markers following graft implantation. CT scanning revealed a left psoas fluid collection. Graft infection was diagnosed. A radio-guided drainage and conserva- tive management, with irrigation drain placement was undertaken with preservation of the aortic graft. There was no evidence of recurrent infection after follow-up at 34 months. Aortic endograft infection may be managed by surgical or radio-guided drainage, antibiotic irrigation of the graft and systemic antibiotic ther- apy without graft removal. Keywords: Aortic Graft Infection, Corynebacterium Striatum, Antibiotic Irrigation 1. Introduction phric exposure of the thoracoabdominal aorta, celiac, superior mesenteric, and left renal arteries is used ac- cording to the Crawford technique