A Case of Successful Treatment for Graft Infection after Abdominal Aortic Aneurysm Repair.
10.4326/jjcvs.30.187
- VernacularTitle:持続洗浄ドレナージおよび抗生物質長期投与が奏効した破裂性腹部大動脈りゅう術後の人工血管感染の１治験例
- Author:
Chu Matsuda
;
Tetsuo Sakakibara
;
Nobuo Sakagoshi
;
Hiroshi Takano
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(4):187-189
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of successful medical treatment for graft infection after abdominal aortic aneurysm repair. A 63-year-old man with a ruptured abdominal aortic aneurysm underwent a prosthetic graft replacement via a retroperitoneal approach. He became febrile on the 26th postoperative day (POD). A CT scan demonstrated fluid collection around the grafts. Re-operation was performed and gross pus was found around the prosthetic graft. After all pus and nonviable tissue were removed, two irrigation tubes and a drainage tube were placed adjacent to the graft for continuous irrigation with 0.5% povidone-iodine and super-acidic solution. Inflammatory reactions were gradually improved, and the patient discharged on the 88th POD.
