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A case report of a unique aorto-bifemoral graft infection and its treatment
In this study, we report a unique case of aorto-bifemoral graft infection, which developed in a 47-year-old male patient after endovascular aortic aneurysmal repair (EVAR) and extra anatomic axillo-femoral bypass. The patient had previously been treated by EVAR for an infrarenal abdominal aortic ane...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7655013/ https://www.ncbi.nlm.nih.gov/pubmed/33214865 http://dx.doi.org/10.1093/jscr/rjaa382 |
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author | Uslu, Hatim Yahya Kurt, Halil |
author_facet | Uslu, Hatim Yahya Kurt, Halil |
author_sort | Uslu, Hatim Yahya |
collection | PubMed |
description | In this study, we report a unique case of aorto-bifemoral graft infection, which developed in a 47-year-old male patient after endovascular aortic aneurysmal repair (EVAR) and extra anatomic axillo-femoral bypass. The patient had previously been treated by EVAR for an infrarenal abdominal aortic aneurysm. Earlier, the EVAR was blocked by a thrombosis and treated with an extra-anatomic axillo femoral bypass, which then became occluded. The patient was then treated with an aorto-bifemoral bypass using a Dacron Y graft. A few months later, he was referred to our cardiovascular center with high body temperature, weight loss, inability to stand and walk, and very serious sepsis. A computed abdominal tomography scan revealed that a part of the graft proximal to the bifurcation had totally eroded into the proximal jejunum. We treated this patient with multiple surgeries, antibiotic administrations and hypochlorous acid irrigation without graft excision, which carries a high morbidity and mortality risks. |
format | Online Article Text |
id | pubmed-7655013 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-76550132020-11-18 A case report of a unique aorto-bifemoral graft infection and its treatment Uslu, Hatim Yahya Kurt, Halil J Surg Case Rep Case Report In this study, we report a unique case of aorto-bifemoral graft infection, which developed in a 47-year-old male patient after endovascular aortic aneurysmal repair (EVAR) and extra anatomic axillo-femoral bypass. The patient had previously been treated by EVAR for an infrarenal abdominal aortic aneurysm. Earlier, the EVAR was blocked by a thrombosis and treated with an extra-anatomic axillo femoral bypass, which then became occluded. The patient was then treated with an aorto-bifemoral bypass using a Dacron Y graft. A few months later, he was referred to our cardiovascular center with high body temperature, weight loss, inability to stand and walk, and very serious sepsis. A computed abdominal tomography scan revealed that a part of the graft proximal to the bifurcation had totally eroded into the proximal jejunum. We treated this patient with multiple surgeries, antibiotic administrations and hypochlorous acid irrigation without graft excision, which carries a high morbidity and mortality risks. Oxford University Press 2020-11-10 /pmc/articles/PMC7655013/ /pubmed/33214865 http://dx.doi.org/10.1093/jscr/rjaa382 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Uslu, Hatim Yahya Kurt, Halil A case report of a unique aorto-bifemoral graft infection and its treatment |
title | A case report of a unique aorto-bifemoral graft infection and its treatment |
title_full | A case report of a unique aorto-bifemoral graft infection and its treatment |
title_fullStr | A case report of a unique aorto-bifemoral graft infection and its treatment |
title_full_unstemmed | A case report of a unique aorto-bifemoral graft infection and its treatment |
title_short | A case report of a unique aorto-bifemoral graft infection and its treatment |
title_sort | case report of a unique aorto-bifemoral graft infection and its treatment |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7655013/ https://www.ncbi.nlm.nih.gov/pubmed/33214865 http://dx.doi.org/10.1093/jscr/rjaa382 |
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