{"title":"Ascending-to-Descending Aortic Bypass of a Thoracic Stent Graft Infection with a Rare Pathogen.","authors":"Tsung-Han Cheng, Yu-Ting Cheng, Sung-Yu Chu, Chih-Chun Lee, Shao-Wei Chen","doi":"10.1089/sur.2024.227","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Background:</i></b> Stent graft infection (SGI) caused by <i>Burkholderia cepacia</i> complex is rare. The usage of ascending-to-descending aortic bypass (ADAB) in such situations has not yet been fully discussed. <b><i>Methods:</i></b> Case report and literature review. <b><i>Results:</i></b> We describe a case of SGI caused by <i>B. cepacia</i> complex after multiple surgical interventions because of an injury from a fall. The successful management encompassed thoracic endovascular aortic repair, antibiotic agents, device removal, and ADAB. <b><i>Conclusion:</i></b> Our report highlights the ADAB technique in addressing the progression of infection after multiple minimally invasive thoracic procedures for emergent thoracic trauma. The ADAB technique could be considered a viable option in certain clinical scenarios in SGI.</p>","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical infections","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/sur.2024.227","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Stent graft infection (SGI) caused by Burkholderia cepacia complex is rare. The usage of ascending-to-descending aortic bypass (ADAB) in such situations has not yet been fully discussed. Methods: Case report and literature review. Results: We describe a case of SGI caused by B. cepacia complex after multiple surgical interventions because of an injury from a fall. The successful management encompassed thoracic endovascular aortic repair, antibiotic agents, device removal, and ADAB. Conclusion: Our report highlights the ADAB technique in addressing the progression of infection after multiple minimally invasive thoracic procedures for emergent thoracic trauma. The ADAB technique could be considered a viable option in certain clinical scenarios in SGI.
期刊介绍:
Surgical Infections provides comprehensive and authoritative information on the biology, prevention, and management of post-operative infections. Original articles cover the latest advancements, new therapeutic management strategies, and translational research that is being applied to improve clinical outcomes and successfully treat post-operative infections.
Surgical Infections coverage includes:
-Peritonitis and intra-abdominal infections-
Surgical site infections-
Pneumonia and other nosocomial infections-
Cellular and humoral immunity-
Biology of the host response-
Organ dysfunction syndromes-
Antibiotic use-
Resistant and opportunistic pathogens-
Epidemiology and prevention-
The operating room environment-
Diagnostic studies