Replacement of the Thoracoabdominal Aorta after Endovascular Abdominal Aneurysm Repair for Ruptured Infected Aneurysm: A Case Report

Nobuo Kondo; Kentaro Tamura; Taichi Sakaguchi; Genta Chikazawa; Hidenori Yoshitaka

doi:10.3400/avd.cr.16-00062

CASE REPORTS

Replacement of the Thoracoabdominal Aorta after Endovascular Abdominal Aneurysm Repair for Ruptured Infected Aneurysm: A Case Report

Nobuo Kondo , Kentaro Tamura, Taichi Sakaguchi, Genta Chikazawa, Hidenori Yoshitaka

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Keywords: endograft infection

JOURNAL OPEN ACCESS

2017 Volume 10 Issue 1 Pages 63-65

DOI https://doi.org/10.3400/avd.cr.16-00062

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Abstract

A 73-year-old man underwent emergency endovascular abdominal aneurysm repair (EVAR) for a ruptured infected abdominal aortic aneurysm. Two years after EVAR, he was admitted with a spiking fever and left lower back pain. Computed tomography scan revealed not only recurrent graft infection with psoas abscess but also infection around the orifice of the superior mesenteric artery. Because conservative medical therapy with antibiotics could not control the infection, we performed complete removal of the infected stent graft, debridement of psoas abscess, and in situ replacement of the thoracoabdominal aorta using rifampicin-soaked prosthetic grafts, followed by the omental flap. He was discharged with no complications.

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