1.Surgical Therapy for Prosthetic Graft Infection.
Kenzo Itoh ; Tetsuya Kitagawa ; Takashi Kitaichi ; Yasushi Fukuta ; Fumio Chikugo ; Tomohisa Kawahito ; Kazutoshi Tano ; Takaki Hori ; Masanori Yoshizumi ; Itsuo Katoh
Japanese Journal of Cardiovascular Surgery 1997;26(1):40-45
Five patients with vascular graft infections were surgically treated over a 16-year period. Primary diseases were arteriosclerosis obliterans in 3 cases and invasion of malignant diseases in 2 cases. The most common site of infection was the groin (3 of 5). Staphylococcus aureus was the most common pathogen. Administration of antibiotics, drainage and lavage with povidone iodine solution were performed in 4 patients (40-64 days). All patients underwent graft resection and reconstruction. Infected parts of the previous grafts were removed. Total removal of the previous graft was performed in 2 cases and partial removal was performed in 3 cases. To avoid re-infection, long extra-anatomical bypass was performed in 4 cases. The post operative courses of the five patients were uneventful.
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