| Successful Treatment with Percutaneous
Catheter Drainage and Irrigation for Methycillin-Resistant Staphylococcus
aureus Graft Infection Following Abdominal Aneurysm Repair |
(Department of Cardiovascular Surgery and Department
of General Medicine*, Aso-Iizuka Hospital, Iizuka, Japan)
| Fumio Fukumura |
Hiromi Ando |
Masayoshi Umesue |
| Ichiro Nagano |
Noriko Boku |
Kenichiro Taniguchi |
| Satoshi Kimura |
Jiro Tanaka |
Kenichi Nakamura* |
|
We report 2 cases of successful
treatment by percutaneous catheter drainage and irrigation for
methycillin-resistant Staphylococcus aureus (MRSA) prosthetic
graft infection after abdominal aortic aneurysm (AAA) repair.
Case1 was a 71-year-old man in whom MRSA graft infection was
diagnosed on the basis of high fever and CT-guided taps of the
perigraft fluid 11 days after AAA repair, and a percutaneous
catheter was inserted into the perigraft space by the CT-guided
method. Case2 was a 77-year-old man in whom MRSA graft infection
was diagnosed because of high fever and purulent discharge from
the wound of retroperitoneal drainage 5 days after AAA repair.
A percutaneous catheter was placed into the retroperitoneal space
via an extraperitoneal route. In both cases, intermittent irrigation
by 0.5% Povidone-iodine solution and saline was performed as
well as systemic and local antibiotic administration. The graft
infection was well controlled and both patients were discharged
after 4 months. Percutaneous catheter drainage and irrigation
can be one of the choices for critically ill patients with graft
infection after AAA repair.
Jpn. J. Cardiovasc. Surg. 32: 347 -349 (2003) |
|
