Abstract
Prosthetic graft infection is a serious complication of abdominal aorta surgery. Its removal is always indicated because it prevents potential significant complications, but reconstruction is a technical challenge. The authors present a case of an in situ reconstruction with corrugated bovine pericardial tubular graft.
Highlights
Infrarenal aortic graft infection continues to be one of the most challenging problems in modern vascular surgery
Successful treatment necessitates the complete excision of the infrarenal aortic graft infection with the maintenance of adequate lower extremity arterial inflow
Glutaraldehyde-treated bovine pericardial grafts have been used in cardiovascular surgery for aorta replacement
Summary
Infrarenal aortic graft infection continues to be one of the most challenging problems in modern vascular surgery. Infection associated with bioprosthetic material can occur in up to 3% of implanted materials [1]. Successful treatment necessitates the complete excision of the infrarenal aortic graft infection with the maintenance of adequate lower extremity arterial inflow. Freedom from recurrent infection, patency of the revascularization, and avoidance of major amputation are important outcome goals used to measure the success of surgical treatment. Glutaraldehyde-treated bovine pericardial grafts have been used in cardiovascular surgery for aorta replacement. Its use in human abdominal aorta graft replacement has not been used. The objective of this article is to report an abdominal aortic graft infection successfully treated by a bovine pericardial tubular graft
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