In Situ Graft Replacement for a Ruptured Abdominal Aortic Aneurysm Infected with Listeria monocytogenes after Endovascular Aneurysm Repair.

Abstract

Listeria monocytogenes infection and rupture of the aneurysm sac, after endovascular aneurysm repair (EVAR), are both rare. We report the case of an 82-year-old man who presented with a ruptured aneurysm by infection with L. monocytogenes after EVAR. We successfully treated him by in situ reconstruction with a bifurcated expanded polytetrafluoroethylene (ePTFE) graft, with partial removal of the infected stent graft. At 30 months from the reoperation, the patient was in good health at home, with no symptoms of infection, and the gallium-67-citrate single-photon emission computed tomography/computed tomography (SPECT/CT) fusion images confirmed no fluid accumulation.

• Authors: Tsunehisa Yamamoto, Katsuhiko Oka, Keiichi Kanda, Osamu Sakai, Taiji Watanabe, Hitoshi Yaku
• Journal: Annals of vascular diseases (Ann Vasc Dis) Vol. 11 Issue 3 Pg. 346-349 (Sep 25 2018) ISSN: 1881-641X [Print] Japan
• PMID: 30402187 (Publication Type: Journal Article)