Cryopreserved Arterial Allografts Versus Rifampin-Soaked Dacron for the Treatment of Infected Aortic and Iliac Aneurysms

Tabiei, Armin; Cifuentes, S.; Kalra, Manju; Colglazier, J.J.; Mendes, B.C.; Schaller, M.S.; Shuja, Fahad; Rasmussen, T.E.; DeMartino, Randall R.

doi:10.1016/j.avsg.2023.04.015

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…Low virulence organisms (eg, Staphylococcus epidermidis ) can be surgically managed with wide debridement and silver impregnated Dacron grafts. High virulence organisms (eg, Pseudomonas aeruginosa ) are typically surgically managed with wide debridement, aortic oversew and bilateral axillo-bifemoral bypass grafts 11–15. High virulence organisms are characteristically harder to eliminate and often seed elsewhere.…”

Section: Discussionmentioning

confidence: 99%

Massive gastrointestinal bleed due to a primary aortoenteric fistula

Stanley,

Nguyen,

Sivasuthan

et al. 2024

BMJ Case Rep

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A man in his 60s attended emergency for acute-onset abdominal pain and haematemesis. Requiring resuscitation, a CT abdomen/pelvis revealed a primary aortoenteric fistula actively bleeding into the duodenum. His background included a previous severe Q-fever infection and a heavy smoking history. Despite attempts at resuscitation and an emergent surgical attempt at haemostasis, the patient did not survive the massive gastrointestinal haemorrhage.Even in less severe cases, management of aortoenteric fistulas is tricky. Blood cultures and angiographic imaging are important investigations in guiding surgical approach. The pathology tends to have a significant rate of mortality even at tertiary-level vascular surgical centres.

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Section: Discussionmentioning

confidence: 99%