Unclear Reason of Recurrent Graft Infections after Aortobifemoral Reconstruction

Srdjan Babic; Vuk Jovanovic; Milan Marinkovic; Slobodan Tanaskovic; Predrag Gajin; Nenad Ilijevski

doi:10.3889/oamjms.2021.6056

Authors

Srdjan Babic Department of Clinic for Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
Vuk Jovanovic Department of Clinic for Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia https://orcid.org/0000-0003-3545-5796
Milan Marinkovic Department of Clinic for Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Slobodan Tanaskovic Department of Clinic for Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
Predrag Gajin Department of Clinic for Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
Nenad Ilijevski Department of Clinic for Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia

DOI:

https://doi.org/10.3889/oamjms.2021.6056

Keywords:

Infection, Graft, Surgery, Vascular

Abstract

BACKGROUND: Aortic graft infection is one of the most serious complications of vascular reconstruction with the incidence of 1%. The clinical presentation can vary, which delays the diagnosis.

CASE REPORTS: Infections in our patients affected iliac, inguinal region, and retroperitoneum, which are not relatively common sites of graft infection. We present clinical presentation, imaging procedures, and surgical treatment of three patients with unknown cause of late graft infection after 6, 7, and 9 years.

CONCLUSION: In our presentations, the etiological factors of the infection are not known, but they suggest that events in the gastrointestinal tract may be related to them. Aggressive surgery should be taken into consideration as a first choice in the similar cases.

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