Conservative Treatment of an Early Aortic Graft Infection Due to Acinetobacter baumanii

  title={Conservative Treatment of an Early Aortic Graft Infection Due to Acinetobacter baumanii},
  author={Tim D. Pencavel and G Singh-Ranger and James N. Crinnion},
  journal={Annals of Vascular Surgery},
Acute infection of an aortic graft is a devastating complication. While resection of the infected prosthesis and extra-anatomic bypass is the established treatment, this carries a high mortality. We describe a case of early aortic graft infection with the unusual organism Acinetobacter baumanii, which was eradicated by a combination of surgical drainage and antibiotics, allowing preservation of the graft. The patient remains well 30 months later. 
Perigraft infections due to Salmonella after abdominal aortic aneurysm repair.
Perigraft infections post abdominal aortic aneurysm repair could be caused by enteric organisms and must be treated with long-term appropriate antibiotics, depending on the microbiological finding, besides surgical drainage and lavage.
Conservative treatment of aortic graft infection.
Whether the aortic graft infection is cured or controlled is debated, but outcomes for high-risk patients and those with grafts in critical vascular beds are often superior to a high- risk surgical graft resection.
Prosthesis infection: prevention and treatment.
The incidence of graft infection is summarized, the predisponding factors to graft infection are analyzed, and current strategies for prevention and treatment of prosthesis and endograft infection are reviewed.
Preventing strategy of multidrug-resistant Acinetobacter baumanii susceptible only to colistin in cardiac surgical intensive care units.
Life-long antimicrobial therapy: where is the evidence?
A summary of the available evidence for patient populations where long-term antibiotic therapy is currently recommended in clinical practice is provided, including medication adverse effects, economic cost and any possible contribution to the emerging epidemic of microbial resistance.


Conservative treatment of prosthetic aortic graft infection with irrigation
A patient who incurred periprosthetic purulent collection four weeks after insertion of an inlay aortobiiliac prosthetic graft for aneurysm is reported, who was treated by debridement, irrigation, and omental transposition.
Conservative treatment of major aortic graft infection.
Diagnosis and management of infected prosthetic aortic grafts.
Treatment of an infected aortic prosthetic graft often requires total graft excision, preferably preceded by revascularization of the lower extremities through lateral uninfected routes.
An eight year experience of conservative management for aortic graft sepsis.
Diagnosis and management of aortic graft infection.
Whereas graft excision and extra-anatomic revascularization remains the "gold standard" for treatment of aortic graft infection, the use of in situ replacement with autogenous vein has been shown to be an excellent alternative.
Conservative management of a methicillin-resistantStaphylococcus aureus (MRSA)-infected aortobifemoral graft: Report of a case
A 63-year-old man who underwent aortobifemoral bypass with thromboendarterectomy of the left common femoral artery, and right graft-popliteal artery bypass had an uneventful postoperative course; however, 14 days after the operation, a pulsatile mass suddenly appeared in the left groin.
Arterial homografts in the management of infected axillofemoral prosthetic grafts.
Two lower limb amputees with infected contralateral axillofemoral prosthetic grafts received preserved human arteries after removal of the infected materials, which grew organisms and had ABO-compatibility with the recipient.
Treatment of established prosthetic vascular graft infection with antibiotics preferentially concentrated in leukocytes.
In this experimental model, established prosthetic graft infections were eradicated by intensive treatment with antibiotics preferentially concentrated in leukocytes.