Successful Treatment of Prosthetic Graft Infection 7 Years after Ascending Aorta Replacement and Aortic Root Replacement with a Freestyle Stentless Valve

Jiro Sakai

Tatsuhiko Komiya

Hiroshi Tsuneyoshi and Takeshi Shimamoto

（Department of Cardiovascular Surgery, Kurashiki Central Hospital, Okayama, Japan）

A 62 year-old man presented with severe septic shock complicated by prosthetic graft infection, 7 years after aortic root replacement with a Freestyle stentless valve and graft replacement of the ascending aorta. We initially managed the patient with antimicrobial therapy for 2 months and subsequently surgery was performed, replacing the infected aortic graft with rifampicin-bonded prostheses, and added omentopexy. The infection was cured and has not recurred.

 

Jpn. J. Cardiovasc. Surg. 44:137-140（2015）

Keywords：aortic root replacement;prosthetic graft infection;rifampicin-bonded prostheses;omentopexy