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. 2019 Jun;35(Suppl 2):186-191.
doi: 10.1007/s12055-018-0664-9. Epub 2018 Apr 14.

Perspective: options in managing aortic graft infections

Affiliations

Perspective: options in managing aortic graft infections

Eric Graulus et al. Indian J Thorac Cardiovasc Surg. 2019 Jun.

Abstract

Thoracic aortic graft infections are infrequent, but are associated with high mortality and morbidity risk. To prevent these life-threatening infections, one must be aware of pathogenesis. When it occurs, a multidisciplinary (surgeon, radiologist, microbiologist, nuclear specialist, infectiologist, anesthesiologist, intensive care specialist) cascade must be initiated. A fast and accurate diagnosis using diagnostic criteria is vital. The appropriate treatment consists of a combination of antibiotics and surgery. Whether or not the vascular prosthesis is preserved depends on a case-by-case basis (tailor-made). Several graft preservation strategies have proven their effectiveness.

Keywords: Diagnostic criteria; Prevention; Thoracic aortic graft infection.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflict of interest.

Figures

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Summary of results

References

    1. Coselli JS, Crawford ES, Williams TW, et al. Treatment of postoperative infection of ascending and transverse aortic arch, including use of viable omentum and muscle flaps. Ann Thorac Surg. 1990;50:868–881. doi: 10.1016/0003-4975(90)91111-N. - DOI - PubMed
    1. Darouiche RO. Treatment of infections associated with surgical implants. N Engl J Med. 2004;350:1422–1429. doi: 10.1056/NEJMra035415. - DOI - PubMed
    1. Akowuah E, Narayan P, Angelini G, Bryan AJ. Management of prosthetic graft infection after surgery of the thoracic aorta: removal of the prosthetic graft is not necessary. J Thorac Cardiovasc Surg. 2007;134:1051–1052. doi: 10.1016/j.jtcvs.2007.02.055. - DOI - PubMed
    1. Coselli JS, Köksoy C, LeMaire SA. Management of thoracic aortic graft infections. Ann Thorac Surg. 1999;67:1990–1993. doi: 10.1016/S0003-4975(99)00355-0. - DOI - PubMed
    1. Cernohorsky P, Reijnen MM, Tielliu IF, van Sterkenburg SM, van den Dungen JJ, Zeebregts CJ. The relevance of aortic endograft prosthetic infection. J Vasc Surg. 2011;54:327–333. doi: 10.1016/j.jvs.2010.12.067. - DOI - PubMed

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