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Infected Aortic Grafts in the Descending Thoracic Aorta

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Surgical Management of Aortic Pathology

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Abstract

Prosthetic graft or endograft infection is a rare but devastating complication of aortic surgery. The incidence of infected descending and thoracoabdominal prosthetic grafts is reported between 0.5 and 1.7%, including early and late infections with and without aortoesophageal fistulas. The prevalence of infected aortic endografts is 0.25–4%. Improvements in surgical techniques, endovascular therapies as bridging procedures and perioperative care have led to improved in-hospital survival. Replacement of the infected graft with pedicled flap coverage leads to reasonable long-term results. Additional studies are needed before widespread adoption of graft preservation techniques.

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Authors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA

    Rana O. Afifi, Kristofer M. Charlton-Ouw, Hazim J. Safi & Anthony L. Estrera

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  1. Rana O. Afifi
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  2. Kristofer M. Charlton-Ouw
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  3. Hazim J. Safi
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  4. Anthony L. Estrera
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Correspondence to Anthony L. Estrera .

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  1. Fmr Royal Brompton Hospital, London, UK

    Olaf H. Stanger

  2. Royal Brompton Hospital, London, UK

    John R. Pepper

  3. Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA

    Lars G. Svensson

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Afifi, R.O., Charlton-Ouw, K.M., Safi, H.J., Estrera, A.L. (2019). Infected Aortic Grafts in the Descending Thoracic Aorta. In: Stanger, O., Pepper, J., Svensson, L. (eds) Surgical Management of Aortic Pathology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4874-7_80

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