Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2020)

A complicated course for an infected endovascular stent graft

  • Matthew S. Jorgensen, BS,
  • Jonathan Obi, MD,
  • Samuel Nussbaum, BS,
  • Charles Ritchie, MD,
  • Albert G. Hakaim, MD,
  • Houssam Farres, MD

Journal volume & issue
Vol. 6, no. 4
pp. 690 – 693

Abstract

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The management of an infected endovascular aortic stent graft can be complex and morbid. Therefore, caution should be exercised before an endovascular approach is considered in patients presenting with a saccular aneurysm who are younger than 65 years and without risk factors for this may indicate a mycotic aneurysm. An open approach with consideration of aneurysm excision should be entertained to prevent an endovascular implantation in the setting of an infected aorta. We report a case of endovascular aortic stent graft infection that led to complex surgical management and prolonged postoperative care.

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