Aortic endograft infection: open surgical management with endograft preservation.

Abstract

We report successful management of aortic endograft infection without graft explantation or extra-anatomic bypass. A 66 year-old male who had undergone endovascular repair of an aortic aneurysm presented with abdominal pain and raised inflammatory markers following embolisation of a type-2 'endoleak'. CT scanning revealed a left psoas fluid collection. Endograft infection was diagnosed. Following failure of CT-guided drainage and conservative management, surgical drainage with irrigation drain placement was undertaken with preservation of the endograft. There was no evidence of recurrent infection after follow-up at 30 months. Aortic endograft infection may be managed without endograft removal and extra-anatomic bypass.