Case report
Vascular infections
Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft

Presented at the Thirty-second Annual Meeting of the Eastern Vascular Society, Washington, D.C., September 6-8, 2018. B.N.G. won the award for best case report by a medical student.
https://doi.org/10.1016/j.jvscit.2018.12.012Get rights and content
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Abstract

We report the case of an 82-year-old patient with an infected abdominal aortic endograft who presented with a right psoas abscess and lumbar osteomyelitis. The psoas abscess was drained percutaneously. Fluid obtained grew Fusobacterium nucleatum. The patient, an active and highly functional individual, wished to pursue definitive management. The infected endograft was surgically removed, and the aorta was ligated above the renal arteries after staged axillary-bifemoral, hepatorenal, and splenorenal bypasses.

Keywords

Abdominal aortic endograft infection
Hepatorenal bypass
Splenorenal bypass
Axillobifemoral bypass
Aortic ligation

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Author conflict of interest: none.

The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.