scholarly journals Exophiala (Wangiella) dermatitidis Prosthetic Aortic Valve Endocarditis and Prosthetic Graft Infection in an Immune Competent Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Jay S. Berger ◽  
Lucas R. Cusumano ◽  
Joseph J. Derose ◽  
Uzma N. Sarwar
Keyword(s):  
Aortic Valve ◽  
Graft Infection ◽  
Prosthetic Graft ◽  
Aortic Graft ◽  
Wangiella Dermatitidis ◽  
Competent Patient ◽  
Prosthetic Graft Infection ◽  
Prosthetic Aortic Valve ◽  
First Case ◽  
Dematiaceous Fungus

Exophiala (Wangiella) dermatitidis is an emerging dematiaceous fungus associated with high mortality rates and is a rare cause of endocarditis. We describe the first case of E. dermatitidis endocarditis of a prosthetic aortic valve and aortic graft in an immune competent patient with no clear risk factors of hematological acquisition.

Enhanced Perigraft Angiogenesis Prevents Prosthetic Graft Infection

2008 ◽  
Vol 86 (4) ◽  
pp. 1278-1284 ◽  
Author(s):  
Shinichi Sato ◽  
Yoshio Nitta ◽  
Yoshikatsu Saiki ◽  
Shunsuke Kawamoto ◽  
Atsushi Iguchi ◽  
...  
Keyword(s):  
Graft Infection ◽  
Prosthetic Graft ◽  
Prosthetic Graft Infection

scholarly journals Endoluminal negative pressure wound treatment of anastomotic leakage in rectal surgery patients – critical review of the literature.

2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Edward Huľo
Keyword(s):  
Anastomotic Leakage ◽  
Negative Pressure ◽  
Graft Infection ◽  
Rectal Surgery ◽  
Wound Dehiscence ◽  
Prosthetic Graft ◽  
Prosthetic Material ◽  
Review Of The Literature ◽  
Septic Complications ◽  
Prosthetic Graft Infection

During past 20 years the use of negative pressure wound therapy (NPWT) has shown it effectivity and efficiency in treatment of different indications. These indications include treatment of septic complications of open surgery (open abdomen, enteroatmospheric fistulas, wound dehiscence including sternotomy infections, staged abdominal wall repair, diabetic foot syndrome, and salvage of infected prosthetic material) or their prevention (prevention of complications in skin graft application and prevention of prosthetic graft infection). Such use consists of either external use directly in the wound, or intracorporal applications (intraabdominal NPWT, intrathoracal NPWT).  New approaches and ways of application are evolving. One of new therapeutic methods are endoluminal use in both upper and lower gastrointestinal tract.  Authors performed and present thorough review of the literature on use of endoluminal NPWT in anastomotic leakage in rectal surgery patients.  Authors conclude, that endo NPWT is becoming a new and effective therapeutic method in treatment of septic complications of patients after rectal surgery.

scholarly journals Temporin A Soaking in Combination with Intraperitoneal Linezolid Prevents Vascular Graft Infection in a Subcutaneous Rat Pouch Model of Infection with Staphylococcus epidermidis with Intermediate Resistance to Glycopeptides

2004 ◽  
Vol 48 (8) ◽  
pp. 3162-3164 ◽  
Author(s):  
Andrea Giacometti ◽  
Oscar Cirioni ◽  
Roberto Ghiselli ◽  
Fiorenza Orlando ◽  
Giuseppina D'Amato ◽  
...  
Keyword(s):  
Staphylococcus Epidermidis ◽  
Vascular Graft ◽  
Graft Infection ◽  
Prosthetic Graft ◽  
Vascular Graft Infection ◽  
Methicillin Resistant ◽  
Prosthetic Graft Infection ◽  
Intermediate Resistance ◽  
Temporin A

ABSTRACT The efficacy of linezolid and temporin A in the prevention of prosthetic graft infection due to methicillin-resistant Staphylococcus epidermidis with intermediate resistance to glycopeptides was investigated in a subcutaneous rat pouch model. Linezolid and temporin A, alone or combined, greatly reduced the bacterial numbers compared to the effect with control drugs.

Surgical Treatment of the Infected Aortic Graft

2017 ◽  
Author(s):  
Jayer Chung
Keyword(s):  
Preoperative Evaluation ◽  
Graft Infection ◽  
Prosthetic Graft ◽  
Vascular Reconstruction ◽  
Graft Material ◽  
Aortic Graft ◽  
Operative Planning ◽  
Femoral Vessels ◽  
Aortic Graft Infection ◽  
Autogenous Reconstruction

The primary goal of treatment in dealing with an infected aortic graft is to save life and limb. This goal is best accomplished by eradicating all infected graft material and maintaining adequate circulation with appropriate vascular reconstruction. This review describes the choice of procedures, including an extra-anatomic bypass, an aortic allograft, an antibiotic-treated prosthetic graft, and an in situ autogenous reconstruction. Once a procedure has been decided on, preoperative evaluation and operative planning must take place. The review describes operative technique from the thigh incision and exposure of the femoral vessels to closure. Postoperative care is described. Outcomes and complications are discussed. Special consideration is given to aortoenteric fistulas. This review contains 8 figures, 2 tables, and 83 references. Key words: antibiotic-impregnated Dacron, aortic graft infection, aortoenteric erosion, aortoenteric fistula, axillobifemoral bypass, cryopreserved allograft,  neoaortoiliac surgery  

Chirurgische Behandlung von Protheseninfektionen; vergleichende retrospektive Analyse von 30 Fällen

VASA ◽  
2002 ◽  
Vol 31 (1) ◽  
pp. 48-55 ◽  
Author(s):  
Gassel ◽  
Klein ◽  
Steger ◽  
Kellersmann ◽  
Hamelmann ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Graft Infection ◽  
Local Therapy ◽  
Complete Removal ◽  
Prosthetic Graft ◽  
Autologous Vein ◽  
Prosthetic Reconstruction ◽  
Prosthetic Graft Infection ◽  
Primary Amputation ◽  
Vein Bypass

Background: Graft infection after vascular prosthetic reconstruction for the treatment of peripheral arterial occlusive disease (PAOD) is a rare but severe complication with poor outcome. The options for surgical treatment are not uniformly accepted and remain controversial. Patients and methods: We retrospectively analyzed the histories of 30 patients treated for prosthetic graft infection (Szilagyi grade III) in our hospital between 1994 and 1999 to determine which forms of treatment were best suited for which types of patient. In the majority of cases the initial treatment was lower-extremity bypass surgery. The most frequent location of infection was the groin (73%). Staphylococci (13% of which were methicillin resistant) were the most common type of bacteria. The overall incidence of prosthetic infection was 2.3%. Results: After confirmation of the infection by computed tomography (CT) or white blood cell scintigraphy, one of the following 5 forms of surgical treatment was performed: 1. Removal of the infected prosthesis and its simultaneous replacement by an autologous vein bypass. 2. Bypass removal and secondary replacement by an autologous vein. 3. Extra-anatomical replacement. 4. Graft removal and primary amputation. 5. Local therapy with debridement and secondary wound healing. In some patients primary amputation after graft infection was necessary to prevent further deterioration with fulminant sepsis. The overall mortality was 17%, the amputation rate was 60%. Conclusions: The best results were achieved by early complete removal of the alloplastic material and one-step replacement by either an autologous vein or extra-anatomic bypass. This resulted in a limb salvage rate of 54% and 40% and mortality rates of 9% and 0%, respectively.

Immunocompetence in patients with prosthetic graft infection

1984 ◽  
Vol 1 (1) ◽  
pp. 45-49
Author(s):  
Jack H. M. Kwaan ◽  
Robert K. Dahl ◽  
John Connolly
Keyword(s):  
Graft Infection ◽  
Prosthetic Graft ◽  
Prosthetic Graft Infection
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