Cryopreserved arterial allografts for in situ reconstruction of abdominal aortic native or secondary graft infection

Ahmed, Sabrina Ben; Louvancourt, Adrien; Daniel, Guillaume; Combe, Pierre; Duprey, Ambroise; Albertini, Jean‐Noël; Favre, Jean‐Pierre; Rosset, Eugénio

doi:10.1016/j.jvs.2017.06.088

Cited by 45 publications

(22 citation statements)

References 30 publications

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“…However, How et al have reported a mycotic aneurysm in the brachial artery secondary to Staphylococcus epidermidis after a case of infective endocarditis that acutely enlarged and became symptomatic rapidly [ 10 ]. In their series on cryopreserved aortic reconstruction involving 71 patients, Ben Ahmed et al showed one patient with the primary aortic infection with Staphylococcus epidermidis [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass

Lajos

Bangiyev

Safir

et al. 2021

Cureus

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Popliteal artery aneurysms (PAAs) are the most common type of peripheral artery aneurysms. Mycotic aneurysms involving the popliteal artery are quite rare and can occur as either a primary de novo infection or a secondary infection from another site. To our knowledge, there are no previous case reports on mycotic PAA in which Staphylococcus epidermidis was the primary etiologic pathogen. We present the case of a 55year-old male who presented with complaints of lower extremity pain and swelling, malaise, and low-grade temperatures for two weeks and was found to have a PAA. He underwent left femoral-popliteal bypass grafting with expanded polytetrafluoroethylene (ePTFE) graft and ligation of the aneurysm. On postoperative day 10, he experienced acute swelling and pain in his lower extremity with foot drop and was found to have rapid enlargement of his aneurysm sac on imaging. He was returned to the operating room emergently where he underwent aneurysmectomy via a posterior fossa approach. Cultures and gram staining of the aneurysm sac were consistent with Staphylococcus epidermidis. As noted above, this case of mycotic PAA was treated with standard vascular surgical techniques, yet it proceeded to enlarge acutely. PAAs that rapidly expand or rupture after surgical interventions may be a sign of infection.

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Section: Discussionmentioning

confidence: 99%

Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass

Lajos

Bangiyev

Safir

et al. 2021

Cureus

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“…This incidence is highest in the presence of groin incisions for lower extremity bypass procedures, up to 10.6%, and lowest for aortoiliac grafts ranging from 0.6% to 5% [2,[7][8][9]. Endovascular device infections are rare with incidence ranging from 0.1% to 1.2% [9,10].…”

Section: Incidencementioning

confidence: 99%

“…The most dreaded SSI is graft infection which occurs in up to 15% of vascular reconstructions with incidence differing based on location [6]. This incidence is highest in the presence of groin incisions for lower extremity bypass procedures, up to 10.6%, and lowest for aortoiliac grafts ranging from 0.6% to 5% [2,[7][8][9]. Endovascular device infections are rare with incidence ranging from 0.1% to 1.2% [9,10].…”

Section: Incidencementioning

confidence: 99%

“…These particular bacteria can be present in grafts for extended periods of time without overt evidence of gross infection or positive wound cultures due to production of a protective biofilm. Cultures of prosthetic graft infections may be negative in up to 40% of cases [9,[14][15][16]. Gram-negative bacteria are involved in approximately a quarter of vascular SSI and most commonly include E. coli, Pseudomonas, and Proteus species [18].…”

Section: Microbiologymentioning

confidence: 99%

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Dreaded Late Complications: Infection, Blowout, Pseudoaneurysm, Fistula

Pallister¹,

Grant²

2021

Vascular Complications of Surgery and Intervention

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“…Aortic infection is a challenging condition. 1 Long-term antibiotherapy can result in relapse of infection. 2 In contrast, surgical revision is the best solution but is associated with early mortality rates of 7% to 18%.…”

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confidence: 99%

Aortic treatment of native infection by reconstruction with the Omniflow II biologic prosthesis

Harmouche

Loreille

Bars

et al. 2018

Journal of Vascular Surgery Cases, Innovations and Techniques

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Aortic infection is a challenging condition. Fortunately, surgical revision of infected aorta with in situ reconstruction can provide long-term cure. The material for aortic repair remains an area of debate. The Omniflow II (LeMaitre Vascular, Burlington, Mass) prosthesis is a biosynthetic graft made to resist long-term degeneration and allows growth of host tissue with reduction of the risk of arterial infection. It has already been used for peripheral bypass with very low infection rates. Herein, we describe an original case of first-line native aorta replacement by a straight Omniflow II biologic prosthesis for infected aortic aneurysm.

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Cryopreserved arterial allografts for in situ reconstruction of abdominal aortic native or secondary graft infection

Abstract: The prognosis of native or secondary aortic graft infections is poor. Aortic in situ reconstruction with CAA offers acceptable early and late results. Patients with type 1 diabetes and American Society of Anesthesiologists class 4 are at higher risk of mortality.

Cited by 45 publications

References 30 publications

Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass

Mycotic Popliteal Artery Aneurysm With Rapid Enlargement Post-Bypass

Dreaded Late Complications: Infection, Blowout, Pseudoaneurysm, Fistula

Aortic treatment of native infection by reconstruction with the Omniflow II biologic prosthesis

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