Feasibility and outcome of partial open surgical fenestrated stent graft explantation, radical debridement, and in situ reconstruction for late graft infection.
Complex aortic aneurysm
Fenestrated stent graft explantation
Fenestrated stent graft infection
Partial fenestrated stent graft explantation for infection
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
06
12
2022
accepted:
15
03
2023
medline:
19
6
2023
pubmed:
19
6
2023
entrez:
19
6
2023
Statut:
epublish
Résumé
Aortic stent graft infection is a rare, but potentially lethal, complication of endovascular aortic aneurysm repair. Definitive treatment is complete stent graft explanation with in-line or extra-anatomical reconstruction. However, several factors can render such an operation unsafe, including the patient's overall fitness for surgery and partial incorporation of graft with a resulting robust inflammatory process, especially around the visceral vessels. We present the case of a 74-year-old man with a history of an infected fenestrated stent graft that was managed with partial explantation, wide debridement, and in situ reconstruction using a rifampin-soaked graft and a 360° omental wrap with good results.
Identifiants
pubmed: 37333865
doi: 10.1016/j.jvscit.2023.101175
pii: S2468-4287(23)00084-9
pmc: PMC10273282
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101175Informations de copyright
© 2023 The Author(s).
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