Explantation of an Infected Fenestrated Abdominal Endograft with Autologous Venous Reconstruction

INTRODUCTION: Infectious complications after FEVAR cause significant problems, with radical surgery considered to be the last resort for treatment. CASE REPORT: A 72 year old man presented with infection 1 month after FEVAR. Conservative therapy with percutaneous abscess drainage and antibiotics sup...

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Detalles Bibliográficos
Autores principales: Terry, C., Houthoofd, S., Maleux, G., Fourneau, I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Short Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576164/
https://www.ncbi.nlm.nih.gov/pubmed/28856328
http://dx.doi.org/10.1016/j.ejvssr.2017.01.002
Descripción
Sumario:INTRODUCTION: Infectious complications after FEVAR cause significant problems, with radical surgery considered to be the last resort for treatment. CASE REPORT: A 72 year old man presented with infection 1 month after FEVAR. Conservative therapy with percutaneous abscess drainage and antibiotics suppressed the infection for 10 months; however, when new peri-aortic abscesses developed, the patient agreed to revision surgery. The endograft was explanted and an autologous in situ venous reconstruction was performed. As a result of post-operative complications, the patient died 3 days later. CONCLUSION: This study demonstrates that autologous venous reconstruction is technically feasible. An earlier decision on such radical surgery could potentially have improved the patient's chances of survival.

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