Abstract
IntroductionEndograft infection with the development of an aorto-duodenal fistula is a rare long-term complication following endovascular abdominal aortic aneurysm repair (EVAR). ReportWe report the case of an endograft infection with aorto-duodenal fistula nine months after uncomplicated EVAR of an infra-renal abdominal aortic aneurysm (AAA). The 74-year-old man underwent graft explantation and insertion of a Rifampicin-soaked graft. The patient died eight days after the procedure from anastomotic rupture. DiscussionThis case illustrates the need for continued awareness of potential graft infection following EVAR and the importance of prompt diagnosis. We discuss the technical problems of explantation of endografts. We reiterate the need for sterility at EVAR procedure and propose the use of prophylactic antibiotics during primary interventions.
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