Surgical Treatment for an Endovascular Stent Infection in the Descending Aorta

(Department of Cardiovascular Surgery Kurashiki Central Hospital, Kurashiki, Japan and Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital*, Fukuyama, Japanj

Shogo Obata* Tatsuhiko Komiya Nobushige Tamura
Genichi Sakaguchi Shinji Masuyama Chieri Kimura
Taira Kobayashi Hiromasa Nakamura
We report a rare case with infection of a stent-graft. A 82-year-old man, who had undergone endovascular stent grafting to repair the descending aortic aneurysm 2 years previously, was admitted with high-grade fever. The blood culture detected methicillin-resistant Staphylococcus aureus (MRSA). Endoleak due to stent-graft infection was diagnosed and operation for synthetic graft replacement was performed. The synthetic graft was infiltrated in Rifampicin prior to the graft replacement to prevent re-infection. Additionally, the graft was covered with the greater omentum. He was discharged on the 45th day after surgery without any problems. One year follow-up showed no sign of re-infection of the graft.
@Jpn. J. Cardiovasc. Surg. 35: 33-36 (2006)