Aortic Endograft Infection after Abdominal Aortic Endovascular Repair: Report of a Case Successfully Managed Conservatively - Abstract
Even though aggressive surgical management is recommended for most cases of
aortic endoprosthesis infection, because of the high surgical risk presented, conservative
treatment should also be considered in selected cases. We present here a clinical case
of a 84-year-old patient, presenting with low back pain, fever and weight loss for two
months. He had undergone an endovascular infra renal aortic aneurysm repair three
years ago. A computed tomography scans demonstrated bubbles inside the sac and
a perianeurysmatic collection. A puncture of this collection was undertaken and the
diagnosis of aortic endograft infection, caused by Propionibacterium sp, was made.
The patient was successfully managed conservatively with parenteral followed by
long-term oral antibiotic therapy