A Case of Successful Treatment for Graft Infection after Abdominal Aortic Aneurysm Repair

(Department of Cardiovascular Surgery, Osaka Police Hospital, Osaka, Japan)

Chu Matsuda Tetsuo Sakakibara Nobuo Sakagoshi
Hiroshi Takano
We report a case of successful medical treatment for graft infection after abdominal aortic aneurysm repair. A 63-year-old man with a ruptured abdominal aortic aneurysm underwent a prosthetic graft replacement via a retroperitoneal approach. He became febrile on the 26th postoperative day (POD). A CT scan demonstrated fluid collection around the grafts. Re-operation was performed and gross pus was found around the prosthetic graft. After all pus and nonviable tissue were removed, two irrigation tubes and a drainage tube were placed adjacent to the graft for continuous irrigation with 0.5% povidone-iodine and super-acidic solution. Inflammatory reactions were gradually improved, and the patient discharged on the 88th POD.
@Jpn. J. Cardiovasc. Surg. 30F187-189 (2001)