Explantation of an Infected Fenestrated Abdominal Endograft with Autologous Venous Reconstruction

• Main Authors: C. Terry, S. Houthoofd, G. Maleux, I. Fourneau
• Format: Article
• Language: English
• Published: Elsevier 2017-01-01
• Series: EJVES Short Reports
• Online Access: http://www.sciencedirect.com/science/article/pii/S2405655317300026

: Introduction: Infectious complications after FEVAR cause significant problems, with radical surgery considered to be the last resort for treatment. Case report: A 72 year old man presented with infection 1 month after FEVAR. Conservative therapy with percutaneous abscess drainage and antibiotics suppressed the infection for 10 months; however, when new peri-aortic abscesses developed, the patient agreed to revision surgery. The endograft was explanted and an autologous in situ venous reconstruction was performed. As a result of post-operative complications, the patient died 3 days later. Conclusion: This study demonstrates that autologous venous reconstruction is technically feasible. An earlier decision on such radical surgery could potentially have improved the patient's chances of survival. Keywords: Fenestrated endovascular aneurysm repair (FEVAR), Infection, Autologous reconstruction