Author(s)

Roberto Gabrielli, Maria Sofia Rosati, Giovanni Caselli, Alessandro Carra, Andrea Siani

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We report successful management of aortic graft infection without graft explanation or extra-anatomic bypass. A 61 year-old male who had undergone surgical repair of a type IV thoraco-abdominal aortic aneurysm presented with left flank pain and raised inflammatory markers following graft implantation. CT scanning revealed a left psoas fluid collection. Graft infection was diagnosed. A radio-guided drainage and conservative management, with irrigation drain placement was undertaken with preservation of the aortic graft. There was no evidence of recurrent infection after follow-up at 34 months. Aortic endograft infection may be managed by surgical or radio-guided drainage, antibiotic irrigation of the graft and systemic antibiotic therapy without graft removal.

Aortic Graft Infection, Corynebacterium Striatum, Antibiotic Irrigation

R. Gabrielli, M. Rosati, G. Caselli, A. Carra and A. Siani, "Aortic Graft Complicated by a Corynebacterium Striatum Infection Due to Previous Type IV Thoraco Abdominal Aortic Aneurysm Repair," World Journal of Cardiovascular Surgery, Vol. 1 No. 2, 2011, pp. 5-10. doi: 10.4236/wjcs.2011.12002.