The relevance of aortic endograft prosthetic infection

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Presentation transcript:

The relevance of aortic endograft prosthetic infection Paul Cernohorsky, MD, Michel M.P.J. Reijnen, MD, PhD, Ignace F.J. Tielliu, MD, Steven M.M. van Sterkenburg, MD, Jan J.A.M. van den Dungen, MD, PhD, Clark J. Zeebregts, MD, PhD Journal of Vascular Surgery Volume 54, Issue 2, Pages 327-333 (August 2011) DOI: 10.1016/j.jvs.2010.12.067 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Coronal (A) and sagittal (B) views of fused FDG-PET-CT imaging of an infected aortic endograft. Clearly, a hot spot at the site of the overlap zone between body and endograft limbs is visible. Journal of Vascular Surgery 2011 54, 327-333DOI: (10.1016/j.jvs.2010.12.067) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative findings during reoperation after previous polyester (tube) prosthesis and right aorto mono-iliac endograft with femorofemoral crossover bypass. A, Completely disconnected anastomoses of the polyester prosthesis from the aortic wall both at proximal and distal ends (head of patient to the right). The brownish area at the ventral side of the prosthesis indicated the marks of an aortoduodenal fistula; blood flow was secured only by the endograft. In the right upper corner, the suture line of duodenal closure is depicted. B, Operation area after explantation of both polyester prosthesis and endograft. Proximal aortic wall (on the right) and wall of the right iliac artery (on the left) are marked by tweezers. C, Intraoperative view after reconstruction with autologous superficial femoral vein. Journal of Vascular Surgery 2011 54, 327-333DOI: (10.1016/j.jvs.2010.12.067) Copyright © 2011 Society for Vascular Surgery Terms and Conditions