Surgical Treatment for an Endovascular Stent Infection in the Descending Aorta
10.4326/jjcvs.35.33
- VernacularTitle:下行大動脈りゅうに対するステントグラフト内挿術2年後にステントグラフト感染を発症した1例
- Author:
Shogo Obata
;
Tatsuhiko Komiya
;
Nobushige Tamura
;
Genichi Sakaguchi
;
Shinji Masuyama
;
Chieri Kimura
;
Taira Kobayashi
;
Hiromasa Nakamura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(1):33-36
- CountryJapan
- Language:Japanese
-
Abstract:
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.