In Situ Aortic Reconstruction with Femoral Vein after Post-EVAR Infection
Vascular Specialist International
;
: 72-75, 2014.
Article
in English
| WPRIM
| ID: wpr-30776
ABSTRACT
A 78-year-old male presented with early gastric cancer and a 5.5 cm-sized infrarenal abdominal aortic aneurysm, detected during regular screening. Endovascular aneurysm repair (EVAR) was performed first, followed by laparoscopic distal gastrectomy. After gastrectomy, the patient underwent computed tomography (CT) scan due to persistent fever, which showed increased perigraft fluid collection around the right iliac limb graft. Echocardiography also revealed mitral valve vegetation, consistent with infective endocarditis. Despite intensive antibiotic treatment, the patient had persistent fever and showed fluid extension to the psoas muscle on CT scan. On the 49th post operative day (POD) after EVAR, stent graft explantation and aortic reconstruction with the left superficial femoral vein was performed. Ligation of the right iliac artery for infection control and simultaneous femoro-femoral bypass was also performed. The patient was discharged on the 46th POD after graft removal without any events.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach Neoplasms
/
Blood Vessel Prosthesis
/
Echocardiography
/
Tomography, X-Ray Computed
/
Mass Screening
/
Psoas Muscles
/
Prosthesis-Related Infections
/
Infection Control
/
Aortic Aneurysm, Abdominal
/
Transplants
Type of study:
Screening study
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Vascular Specialist International
Year:
2014
Type:
Article
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