Successful treatment using percutaneous drainage for aortic arch prosthetic graft infection
نویسندگان
چکیده
Prosthetic graft infection in the ascending aorta or aortic arch is a life-threatening complication. Redo graft replacement is also associated with high mortality and morbidity rates. Conservative treatments without graft removal recently developed as alternatives to conventional surgical approach have been reportedwith successful outcomes.We report a case of successful treatment of prosthetic graft infection in the aortic arch, for which percutaneous catheter drainage was initially performed prior to open surgery, followed by graft coverage with an omental flap. 2014 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
منابع مشابه
Successful surgical in situ treatment of prosthetic graft infection by staged procedure after Bentall operation and total aortic arch replacement
We report a case of a 29-year-old Marfan patient who developed prosthetic graft infection 10 months after Bentall operation and successive replacement of the remaining ascending aorta and the entire aortic arch for acute aortic dissection. Instead of an aggressive high-risk aortic redo procedure with removal and replacement of the infected prosthetic graft we elected a staged graft-sparing surg...
متن کاملPercutaneous aortic valve implantation retrograde from the femoral artery.
BACKGROUND Percutaneous aortic valve implantation by an antegrade transvenous approach has been described but is problematic. Retrograde prosthetic aortic valve implantation via the femoral artery has potential advantages. Percutaneous prosthetic aortic valve implantation via the femoral arterial approach is described and the initial experience reported. METHODS AND RESULTS The valve prosthes...
متن کاملEfficacy of Computed Tomography-Guided Catheter Drainage as the Initial Intervention and of Omentopexy as the Staged Surgery for a Prosthetic Graft Infection of Very Late Onset.
On the basis of computed tomography (CT) examination, a prosthetic graft infection of very late onset was suspected in a 72-year-old man who had undergone replacement of an bifurcated prosthetic graft 6 years earlier because of an abdominal aortic aneurysm and bilateral common iliac artery aneurysms. Emergency CT-guided needle aspiration was performed, and analysis of directly aspirated fluid c...
متن کاملPrimary percutaneous coronary intervention in a patient with right internal mammary artery graft originating from arteria lusoria dextra.
INTRODUCTION Congenital aomalies of the aortic arch, although numerous and heterogeneous, occur in less than 1% of individuals at autopsies. Left aortic arch with an aberrant right subclavian artery, also called arteria lusoria dextra, is the most common anomaly of the aortic arch, occurring in 0.5-2.5% of individuals. CASE OUTLINE We report the case of a 48-year-old man suffering from acute ...
متن کاملUnexpected thoracic endograft infection following a colorectal procedure
Infection of endovascular stent-grafts is a severe complication, but not often reported. We report herein a case of a 61-year-old man presented with pneumonia-like symptoms 24 days after receiving laparoscopic resection of stage 1 sigmoid cancer. Acute pneumonitis and cancer recurrence were excluded on Ga-67 citrate imaging. An infected endovascular graft of the aortic arch, which had been plac...
متن کامل