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Psoas abscess complicating endovascular aortic aneurysm repair.

Moussa O, Sreedharan L, Poels J, Ojimba T - J Surg Case Rep (2012)

Bottom Line: Aortic stent graft infection is a rare but serious complication associated with high mortality.The abscess was managed with percutaneous drainage and antibiotics.We review the available literature and discuss the merits of different management strategies.

View Article: PubMed Central - PubMed

Affiliation: Cumberland Infirmary, Cumbria, UK.

No MeSH data available.


Related in: MedlinePlus

An 82 year old male with 5.8cm AAA of 10.5cm in length
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fig1: An 82 year old male with 5.8cm AAA of 10.5cm in length

Mentions: An 82 year old gentleman with known peripheral vascular disease and previous open popliteal aneurysm repair underwent endovascular repair of a 58mm infrarenal abdominal aortic aneurysm (Fig. 1) using a Cook Zenith bifurcated prosthesis The Zenith Flex® AAA Endovascular Graft (Cook Medical Inc., Bloomington, USA). The operation, which was performed under general anaesthetic and bilateral groin cut downs with intravenous prophylactic antibiotic cover on induction (Co-amoxiclav 1.2g) was uneventful. The main body was deployed via the right side. Completion angiograms showed satisfactory exclusion of the aneurysm sac with good graft position and no endoleaks. Post operatively the patient had a brief period of low grade pyrexia and lower abdominal pain that settled spontaneously. This was thought to be due to post implant graft reaction. Pre-discharge imaging with plain abdominal X-rays was deemed satisfactory.


Psoas abscess complicating endovascular aortic aneurysm repair.

Moussa O, Sreedharan L, Poels J, Ojimba T - J Surg Case Rep (2012)

An 82 year old male with 5.8cm AAA of 10.5cm in length
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3649653&req=5

fig1: An 82 year old male with 5.8cm AAA of 10.5cm in length
Mentions: An 82 year old gentleman with known peripheral vascular disease and previous open popliteal aneurysm repair underwent endovascular repair of a 58mm infrarenal abdominal aortic aneurysm (Fig. 1) using a Cook Zenith bifurcated prosthesis The Zenith Flex® AAA Endovascular Graft (Cook Medical Inc., Bloomington, USA). The operation, which was performed under general anaesthetic and bilateral groin cut downs with intravenous prophylactic antibiotic cover on induction (Co-amoxiclav 1.2g) was uneventful. The main body was deployed via the right side. Completion angiograms showed satisfactory exclusion of the aneurysm sac with good graft position and no endoleaks. Post operatively the patient had a brief period of low grade pyrexia and lower abdominal pain that settled spontaneously. This was thought to be due to post implant graft reaction. Pre-discharge imaging with plain abdominal X-rays was deemed satisfactory.

Bottom Line: Aortic stent graft infection is a rare but serious complication associated with high mortality.The abscess was managed with percutaneous drainage and antibiotics.We review the available literature and discuss the merits of different management strategies.

View Article: PubMed Central - PubMed

Affiliation: Cumberland Infirmary, Cumbria, UK.

No MeSH data available.


Related in: MedlinePlus