1.Successful Treatment with Percutaneous Catheter Drainage and Irrigation for Methycillin-Resistant Staphylococcus aureus Graft Infection Following Abdominal Aneurysm Repair
Fumio Fukumura ; Hiromi Ando ; Masayoshi Umesue ; Ichiro Nagano ; Noriko Boku ; Kenichiro Taniguchi ; Satoshi Kimura ; Jiro Tanaka ; Kenichi Nakamura
Japanese Journal of Cardiovascular Surgery 2003;32(6):347-349
We report 2 cases of successful treatment by percutaneous catheter drainage and irrigation for methycillin-resistant Staphylococcus aureus (MRSA) prosthetic graft infection after abdominal aortic aneurysm (AAA) repair. Case 1 was a 71-year-old man in whom MRSA graft infection was diagnosed on the basis of high fever and CT-guided taps of the perigraft fluid 11 days after AAA repair, and a percutaneous catheter was inserted into the perigraft space by the CT-guided method. Case 2 was a 77-year-old man in whom MRSA graft infection was diagnosed because of high fever and purulent discharge from the wound of retroperitoneal drainage 5 days after AAA repair. A percutaneous catheter was placed into the retroperitoneal space via an extraperitoneal route. In both cases, intermittent irrigation by 0.5% Povidone-iodine solution and saline was performed as well as systemic and local antibiotic administration. The graft infection was well controlled and both patients were discharged after 4 months. Percutaneous catheter drainage and irrigation can be one of the choices for critically ill patients with graft infection after AAA repair.
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