Abstract
Seven cases of infected aortic grafts or aorto-enteric fistulas following resection of an abdominal aortic aneurysm are reviewed. All cases were treated with axillo-femoral bypass and graft removal. Patients had recurrent fever, chills, and abdominal pain (5 patients), or massive gastrointestinal hemorrhage (2 patients). The two patients with massive gastrointestinal hemorrhage died. Three of the 5 long-term survivors had a recurrence of the retroperitoneal abscess after graft removal; one of these died. One axillo-femoral bypass graft required early thrombectomy. There have been no subsequent problems with any of the grafts in the 2.5 to 4 year followup period. Axillo-femoral bypass immediately before graft removal is the treatment of choice for infected or fistulous aortic grafts. Any delay in graft removal after the onset of symptoms should be avoided.
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Selected References
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- Conn J. H., Hardy J. D., Chavez C. M., Fain W. R. Infected arterial grafts: experince in 22 cases with empsis on unusual bactia and technics. Ann Surg. 1970 May;171(5):704–714. doi: 10.1097/00000658-197005000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ehrenfeld W. K., Lord R. S., Stoney R. J., Wylie E. J. Subcutaneous arterial bypass grafts in the managment of fistulae between the bowel and plastic arterial prostheses. Ann Surg. 1968 Jul;168(1):29–35. doi: 10.1097/00000658-196807000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fry W. J., Lindenauer S. M. Infection complicating the use of plastic arterial implants. Arch Surg. 1967 May;94(5):600–609. doi: 10.1001/archsurg.1967.01330110016003. [DOI] [PubMed] [Google Scholar]
- Goldstone J., Moore W. S. Infection in vascular prostheses. Clinical manifestations and surgical management. Am J Surg. 1974 Aug;128(2):225–233. doi: 10.1016/0002-9610(74)90097-x. [DOI] [PubMed] [Google Scholar]
- Graziano J. L., Dobrin P. B. Axillofemoral bypass graft. Vasc Surg. 1970 Jun;4(2):106–115. doi: 10.1177/153857447000400205. [DOI] [PubMed] [Google Scholar]
- HOFFERT P. W., GENSLER S., HAIMOVICI H. INFECTION COMPLICATING ARTERIAL GRAFTS: PERSONAL EXPERIENCE WITH 12 CASES AND REVIEW OF THE LITERATURE. Arch Surg. 1965 Mar;90:427–435. doi: 10.1001/archsurg.1965.01320090105024. [DOI] [PubMed] [Google Scholar]
- Szilagyi D. E., Smith R. F., Elliott J. P., Vrandecic M. P. Infection in arterial reconstruction with synthetic grafts. Ann Surg. 1972 Sep;176(3):321–333. doi: 10.1097/00000658-197209000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vellar I. D., Doyle J. C. Axillofemoral bypass in the management of infected aortic bifurcation "dacron" graft. Aust N Z J Surg. 1970 Aug;40(1):58–60. doi: 10.1111/j.1445-2197.1970.tb04027.x. [DOI] [PubMed] [Google Scholar]