Aortic graft infection with enteric organism after embolization of late type II endoleak
An 82-year-old man with a history of endovascular repair for ruptured abdominal aortic aneurysm 6 years ago presented with a type II endoleak and enlarging sac. He had successful transabdominal direct sac puncture embolization but developed fever 2 days postoperatively. Contrast-enhanced computed to...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-03-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428718301370 |
| _version_ | 1828428670662868992 |
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| author | Ben Li, BHSc Kong Teng Tan, MD Mary Elizabeth MacDonald, MD, PhD John Byrne, MB BCh, MD |
| author_facet | Ben Li, BHSc Kong Teng Tan, MD Mary Elizabeth MacDonald, MD, PhD John Byrne, MB BCh, MD |
| author_sort | Ben Li, BHSc |
| collection | DOAJ |
| description | An 82-year-old man with a history of endovascular repair for ruptured abdominal aortic aneurysm 6 years ago presented with a type II endoleak and enlarging sac. He had successful transabdominal direct sac puncture embolization but developed fever 2 days postoperatively. Contrast-enhanced computed tomography showed a rim-enhancing collection, and sac aspiration was positive for enteric organisms, confirming endograft infection. The patient underwent graft explantation and neoaortic reconstruction using superficial femoral veins. Three months postoperatively, computed tomography showed complete resolution of fluid collection and no signs of graft infection. This report illustrates direct puncture embolization complicated by endograft infection from enteric bacteria. Keywords: Abdominal aortic aneurysm, Endovascular aneurysm repair, Graft infection, Endoleak embolization, Aortic reconstruction |
| first_indexed | 2024-12-10T17:21:23Z |
| format | Article |
| id | doaj.art-5883c2979a7b4e0a972a76f0833bdc78 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-10T17:21:23Z |
| publishDate | 2019-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-5883c2979a7b4e0a972a76f0833bdc782022-12-22T01:39:58ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-03-01516164Aortic graft infection with enteric organism after embolization of late type II endoleakBen Li, BHSc0Kong Teng Tan, MD1Mary Elizabeth MacDonald, MD, PhD2John Byrne, MB BCh, MD3Division of Vascular Surgery, Department of Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, CanadaDivision of Vascular and Interventional Radiology, Department of Medical Imaging, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, CanadaDivision of Vascular Surgery, Department of Surgery, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario, CanadaDivision of Vascular Surgery, Department of Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada; Correspondence: John Byrne, MB BCh, MD, Assistant Professor, Division of Vascular Surgery, 6EN-214, Toronto General Hospital, 200 Elizabeth St, Toronto, Ontario, Canada M5G 2C4An 82-year-old man with a history of endovascular repair for ruptured abdominal aortic aneurysm 6 years ago presented with a type II endoleak and enlarging sac. He had successful transabdominal direct sac puncture embolization but developed fever 2 days postoperatively. Contrast-enhanced computed tomography showed a rim-enhancing collection, and sac aspiration was positive for enteric organisms, confirming endograft infection. The patient underwent graft explantation and neoaortic reconstruction using superficial femoral veins. Three months postoperatively, computed tomography showed complete resolution of fluid collection and no signs of graft infection. This report illustrates direct puncture embolization complicated by endograft infection from enteric bacteria. Keywords: Abdominal aortic aneurysm, Endovascular aneurysm repair, Graft infection, Endoleak embolization, Aortic reconstructionhttp://www.sciencedirect.com/science/article/pii/S2468428718301370 |
| spellingShingle | Ben Li, BHSc Kong Teng Tan, MD Mary Elizabeth MacDonald, MD, PhD John Byrne, MB BCh, MD Aortic graft infection with enteric organism after embolization of late type II endoleak Journal of Vascular Surgery Cases and Innovative Techniques |
| title | Aortic graft infection with enteric organism after embolization of late type II endoleak |
| title_full | Aortic graft infection with enteric organism after embolization of late type II endoleak |
| title_fullStr | Aortic graft infection with enteric organism after embolization of late type II endoleak |
| title_full_unstemmed | Aortic graft infection with enteric organism after embolization of late type II endoleak |
| title_short | Aortic graft infection with enteric organism after embolization of late type II endoleak |
| title_sort | aortic graft infection with enteric organism after embolization of late type ii endoleak |
| url | http://www.sciencedirect.com/science/article/pii/S2468428718301370 |
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