TY - JOUR
TI - Fungal infection of aortoiliac endograft: A case report and review of
the literature
AU - Bakoyiannis, Chris N.
AU - Georgopoulos, Sotiris E.
AU - Tsekouras,
AU - Nikolaos S.
AU - Klonaris, Chris N.
AU - Papalambros, Efstathios L. and
AU - Bastounis, Elias A.
JO - Annals of Vascular Surgery
PY - 2007
VL - 21
TODO - 2
SP - 228-231
PB - EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
SN - 0890-5096
TODO - 10.1016/j.avsg.2006.05.005
TODO - null
TODO - Infection of aortoiliac endografts is, to date, a rare complication of
endovascular surgery. Staphylococcus species are the most common
responsible pathogens, just as in cases with infected grafts after open
aortic surgery. We report a case of a 65-year-old man with a history of
diabetes mellitus and bladder cancer who developed stent-graft infection
3 years after endovascular treatment for a 5.6 cm abdominal aortic
aneurysm. The diagnosis of endograft infection was established
radiologically by computed tomographic scans. After intravenous
administration of antibiotics and fluids to improve his clinical
condition, the patient underwent surgical excision of the infected
prosthesis and a bifurcated rifampicin-impregnated Dacron graft was
placed in situ. Cultures from the purulent fluid around the aorta and
from the endograft revealed development of Candida albicans. To our
knowledge, this is the first case of an infected endograft due to a
fungus. The patient died from septic shock 3 days postoperatively in the
intensive care unit.
ER -