| A Case of Successful Treatment
for Graft Infection after Abdominal Aortic Aneurysm Repair |
(Department of Cardiovascular Surgery, Osaka Police
Hospital, Osaka, Japan)
| Chu Matsuda |
Tetsuo Sakakibara |
Nobuo Sakagoshi |
| Hiroshi Takano |
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We report a case of successful medical
treatment for graft infection after abdominal aortic aneurysm
repair. A 63-year-old man with a ruptured abdominal aortic aneurysm
underwent a prosthetic graft replacement via a retroperitoneal
approach. He became febrile on the 26th postoperative day (POD).
A CT scan demonstrated fluid collection around the grafts. Re-operation
was performed and gross pus was found around the prosthetic graft.
After all pus and nonviable tissue were removed, two irrigation
tubes and a drainage tube were placed adjacent to the graft for
continuous irrigation with 0.5% povidone-iodine and super-acidic
solution. Inflammatory reactions were gradually improved, and
the patient discharged on the 88th POD.
Jpn. J. Cardiovasc. Surg. 30：187-189 (2001) |
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