Reconstructive surgery for infection of abdominal aortic endoprosthesis in a patient with duodenal fistula and sepsis

Khamitov F.F.

Veresaev Moscow State Clinical Hospital

ORCID: 0000-0001-6000-7878

Matochkin E.A.

Veresaev Moscow State Clinical Hospital

ORCID: 0000-0002-1844-3091

Omarzhanov O.A.

Veresaev Moscow State Clinical Hospital

ORCID: 0000-0002-0915-8563

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Reconstructive surgery for infection of abdominal aortic endoprosthesis in a patient with duodenal fistula and sepsis

Authors:

Khamitov F.F., Matochkin E.A., Omarzhanov O.A., Belov Yu.V.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(3): 338‑342

DOI: 10.17116/kardio202316031338

Downloaded: 10

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Khamitov FF, Matochkin EA, Omarzhanov OA, Belov YuV. Reconstructive surgery for infection of abdominal aortic endoprosthesis in a patient with duodenal fistula and sepsis. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(3):338‑342. (In Russ.)
https://doi.org/10.17116/kardio202316031338

Close metadata

The authors present stenting of infrarenal aortic aneurysm followed by subsequent infection, aorto-duodenal fistula and sepsis. Due to infection, aortic bifurcation endograft was removed, the affected aorta was replaced with autovenous bifurcation prosthesis from superficial femoral veins. This clinical case had a positive outcome. We described treatment strategy for these complications adopted in our department.

Keywords:

endograft infection

infrarenal aortic aneurysm

autologous venous graft

superficial femoral vein

aorto-enteric fistula

Authors:

Khamitov F.F.

Veresaev Moscow State Clinical Hospital

ORCID: 0000-0001-6000-7878

Matochkin E.A.

Veresaev Moscow State Clinical Hospital

ORCID: 0000-0002-1844-3091

Omarzhanov O.A.

Veresaev Moscow State Clinical Hospital

ORCID: 0000-0002-0915-8563

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Received:

06.02.2022

Accepted:

10.03.2022

List of references:

Argyriou C, Georgiadis GS, Lazarides MK, Georgakarakos E, Antoniou GA. Endograft infection after endovascular abdominal aortic aneurysm repair: A systematic review and meta-analysis. J Endovasc Ther. 2017;24:688-697. https://doi.org/10.1177/1526602817722018
Smeds MR, Duncan AA, Harlander-Locke MP, Lawrence PF, Lyden S, Fatima J, Eskandari MK; Vascular Low-Frequency Disease Consortium. Treatment and outcomes of aortic endograft infection. J Vasc Surg. 2016;63(2):332-340. https://doi.org/10.1016/j.jvs.2015.08.113
Vogel TR, Symons R, Flum DR. The incidence and factors associated with graft infection after aortic aneurysm repair. J Vasc Surg. 2008;47:264-269. https://doi.org/10.1016/j.jvs.2007.10.030
Kakkos SK, Bicknell CD, Tsolakis IA, Bergqvist D. Hellenic Co-operative Group on Aortic Surgery. Editor’s Choice — Management of secondary aorto-enteric and other abdominal arterio-enteric fistulas: A review and pooled data analysis. Eur J Vasc Endovasc Surg. 2016;52:770-786. https://doi.org/10.1016/j.ejvs.2016.09.014
Cardozo MA, Frankini AD, Bonamigo TP. Use of superficial femoral vein in the treatment of infected aortoiliofemoral prosthetic grafts. Cardiovasc Surg. 2002;10:304-310. https://doi.org/10.1016/s0967-2109(02)00024-8
Batt M, Jean-Baptiste E, O’Connor S, Feugier P, Haulon S. Contemporary management of infrarenal aortic graft infection: early and late results in 82 patients. Vascular. 2012;20:129-137. https://doi.org/10.1258/vasc.2011.oa0315
Dorweiler B, Neufang A, Chaban R, Reinstadler J, Duenschede F, Vahl CF. Use and durability of femoral vein for autologous reconstruction with infection of the aortoiliofemoral axis. J Vasc Surg. 2014;59:675-683. https://doi.org/10.1016/j.jvs.2013.09.029
Charlton-Ouw KM, Kubrusly F, Sandhu HK, Swick MC, Leake SS, Gulbis BE, Koehler TM, Safi HJ. In vitro efficacy of antibiotic beads in treating abdominal vascular graft infections. J Vasc Surg. 2015;62(4):1048-1053. Epub 2014 Apr 16. https://doi.org/10.1016/j.jvs.2014.03.241
Heinola I, Kantonen I, Jaroma M, Alback A, Vikatmaa P, Aho P, Venermo M. Editor’s Choice — treatment of aortic prosthesis infections by graft removal and in situ replacement with autologous femoral veins and fascial strengthening. Eur J Vasc Endovasc Surg. 2016;51(2):232-239. https://doi.org/10.1016/j.ejvs.2015.09.015
Rodrigues dos Santos C, Casaca R, Mendes de Almeida JC, Mendes-Pedro L. Enteric repair in aortoduodenal fistulas: A forgotten but often lethal player. Ann Vasc Surg. 2014;28(3):756-762. https://doi.org/10.1016/j.avsg.2013.09.004
Schoell T, Manceau G, Chiche L, Gaudric J, Gibert H, Tresallet C, Hannoun L, Vaillant JC, Koskas F, Karoui M. Surgery for secondary aorto-enteric fistula or erosion (SAEFE) complicating aortic graft replacement: A retrospective analysis of 32 patients with particular focus on digestive management. World J Surg. 2015;39(1):283-291. https://doi.org/10.1007/s00268-014-2750-5

Close metadata