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

@article{Pencavel2006ConservativeTO,
  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},
  year={2006},
  volume={20},
  pages={415-417}
}
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. 
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References

SHOWING 1-10 OF 14 REFERENCES
Conservative treatment of prosthetic aortic graft infection with irrigation
TLDR
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.
TLDR
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.
TLDR
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
TLDR
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.
TLDR
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.
TLDR
In this experimental model, established prosthetic graft infections were eradicated by intensive treatment with antibiotics preferentially concentrated in leukocytes.
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