La terapia chirurgica delle infezioni protesiche dell' aorta toracica. Approccio conservativo

Translated title of the contribution: Surgical therapy of prosthetic infections of the thoracic aorta. Conservative approach

R. Spirito, A. Parolari, L. Dainese, M. Fusari, M. Agrifoglio, F. Alamanni, C. Antona, D. Cavoretto, A. Repossini, P. Biglioli

Research output: Contribution to journalArticlepeer-review

Abstract

The prosthetic graft infection of the thoracic aorta is a dreaded complication and it is associated with a high mortality rate. There is not substantial agreement in literature about how to manage a vascular graft infection, except for local anti-septic irrigation with a systemic antibiotic therapy. The main point of discussion is if it is mandatory to remove or not the infected thoracic aorta prosthesis: some authors prefer to eliminate all the thoracic aortic prostheses which may be infected, while others propose graft removal only when the sutures lines are involved. In this paper we report our experience on the conservative management of infected thoracic aorta prostheses using a local antiseptic irrigation, a perigraft debridement and leaving the original graft "in situ" when there is evidence of graft damage expecially or involvement of the sutures lines. This approach has been performed in three patients: two had an infected aortic arch prosthesis, while one had a descending thoracic aorta prosthesis infection.

Translated title of the contributionSurgical therapy of prosthetic infections of the thoracic aorta. Conservative approach
Original languageItalian
Pages (from-to)101-106
Number of pages6
JournalMinerva Cardioangiologica
Volume45
Issue number3
Publication statusPublished - Mar 1997

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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