A Case of Aorto-femoral bypass Graft Infection Complicated with Infective Endocarditis.
- Author:
Dong Sik JUNG
1
;
Seung Hwan MUN
;
Se Woong CHOI
;
Chang Je LEE
;
Kyoung Tae KIM
;
Jeung Hoan PAIK
;
Young Jin JEONG
;
Kang Jo CHO
;
Do Young KANG
;
Hyuck LEE
Author Information
1. Department of Internal Medicicne, Donga University College of Medicine, Busan, Korea. hlee@damc.or.kr
- Publication Type:Case Report
- Keywords:
Prosthetic graft infection;
Infective endocarditis;
Tc-99m HMPAO WBC scan
- MeSH:
Anti-Bacterial Agents;
Aortic Aneurysm, Abdominal;
Aortic Valve Insufficiency;
Bacteremia;
Early Diagnosis;
Endocarditis*;
Fever;
Fistula;
Groin;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Mortality;
Technetium Tc 99m Exametazime;
Transplants*
- From:
Infection and Chemotherapy
2005;37(5):292-297
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Prosthetic vascular graft infection (PVGI) is a relatively uncommon complication of peripheral vascular surgery and although rare, is the most severe complication in reconstructive vascular surgery. The early diagnosis of this complication can reduce the mortality. We report a case of aorto-femoral bypass graft infection, which was diagnosed by Tc-99m HMPAO WBC scan, complicated with infective endocarditis. A 60-year-old man had been operated with aortofemoral bypass graft because of aortojejunal fistula due to abdominal aortic aneurysm. Nine months later, he was admitted with fever of two months' duration. On echocardiolography, aortic regurgitation and vegetation were observed, and then he was diagosed with infective endocarditis. He was treated with antibiotics for 6 weeks. Recurrent bacteremia of unknown origin persisted despite antibiotic therapy. Multiple microorganisms were separately isolated from the blood cultures. He complained of intermittent right groin pain. Imaging study (CT, MRI, US) showed no definite evidence of graft infection. However, Tc-99m HMPAO WBC scan demonstrated uptake in the aortofemoral bypass graft site. The patient underwent emergent aortofemoral graft removal with axillobifemoral bypass and right femoropopliteal bypass.
