Cryopreserved Aortic Homografts for the Treatment of Prosthetic Graft Infections Caused by MRSA - A Case Report -

(Department of Cardiovascular Surgery, Tohoku University, Sendai, Japan)

Koichi Nagaya Koichi Tabayashi Atushi Iguchi
Hiroji Akimoto Yusuke Tsuru
A 70-year-old man had undergone prosthetic graft replacement for aneurysm of the descending aorta. Postoperatively he suffered methicillin-resistant Staphylococcus aureus infection. Infection was controlled by antibiotics, and he was followed up in the outpatient clinic. However, he was readmitted due to high fever on the 192nd postoperative day. CT scan revealed abscess formation around the prosthetic graft. The wound was re-explored, and drainage, irrigation and packing with sponges soaked with povidoneiodine solution was performed for 3 days. After that, the prosthetic graft was replaced with a cryopreserved aortic homograft. The postoperative course was uneventful, and he showed no signs of recurrent infection for over 14 months.
@Jpn. J. Cardiovasc. Surg. 32F141 -144i2003)