+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Conservative surgery for aortic graft infection



Conservative surgery for aortic graft infection



Cardiovascular Surgery 4(5): 570-572



Surgery for aortic graft infection is a major challenge often characterized by the need for ingenuity and improvisation. Traditional treatment is by total graft excision and extra-anatomic bypass. In situ replacement of the infected graft using either autogenous tissue or antibiotic-impregnated Dacron is effective in selected cases but it is not clear when such conservative treatment may be employed. Graft excision and thorough débridement of infected tissue are important, whichever technique is used. It would seem unwise to perform in situ reconstruction unless the remaining operative field is free from contamination. When in situ replacement is selected, a rifampicin-soaked Dacron graft is the easy option, but large studies will be needed to determine whether this is a suitable long-term alternative to conventional treatment.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 045627899

Download citation: RISBibTeXText

PMID: 8909812

DOI: 10.1016/0967-2109(96)88095-1


Related references

Antibiotic irrigation and conservative surgery for major aortic graft infection. Journal Of Vascular Surgery. 20(1): 88-95, 1994

Conservative Treatment of Aortic Graft Infection. European Journal of Vascular and Endovascular Surgery 14(supp-S1): 47-52, 1997

Conservative treatment of aortic graft infection. Seminars in Vascular Surgery 24(4): 199-204, 2012

Conservative treatment of major aortic graft infection. European Journal of Vascular Surgery 4(1): 63-67, 1990

Conservative treatment of prosthetic aortic graft infection with irrigation. Annals of Vascular Surgery 5(2): 199-201, 1991

Conservative treatment of an early aortic graft infection due to Acinetobacter baumanii. Annals of Vascular Surgery 20(3): 415-417, 2006

The management of aortic stent-graft infection: endograft removal versus conservative treatment. Annals of Vascular Surgery 24(4): 554.E1-5, 2010

Conservative management of Candida infection of prosthetic aortic graft by means of caspofungin and fluconazole alone. Texas Heart Institute Journal 38(2): 197-200, 2011

Modified Cabrol shunt by means of a saphenous vein graft after redo aortic root surgery due to a graft infection. European Journal of Cardio-Thoracic Surgery 45(3): 583-583, 2014

Diagnosis of Aortic Graft Infection: A Case Definition by the Management of Aortic Graft Infection Collaboration (MAGIC). European Journal of Vascular and Endovascular Surgery 52(6): 758-763, 2016

Graft infection after aortic surgery: strategy and outcome. Strategy for cardio aortic and aortic surgery Proceedings of the Seventh Symposium of the Keio University International Symposia for Life Sciences and Medicine, Tokyo, Japan: 159-165, 2001

Long-term outcome after treatment of aortic graft infection with staged extra-anatomic bypass grafting and aortic graft removal. Journal of Vascular Surgery 32(3): 451-9; Discussion 460-1, 2000

Acute type A aortic dissection complicated by aortic regurgitation: composite valve graft versus separate valve graft versus conservative valve repair. Journal of Thoracic and Cardiovascular Surgery 126(6): 1978-1986, 2003

Arterial allografts in vascular surgery--best choice in cases of aortic graft infection?!. Zentralblatt für Chirurgie 138(5): 530-535, 2014

Experience with pyoktanin lavage for mediastinitis and prosthetic graft infection following thoracic aortic surgery. Kyobu Geka. Japanese Journal of Thoracic Surgery 55(5): 379-382, 2002