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Polymicrobial Abdominal Aortic Endograft Infection Secondary to Aorto-Enteric Para-Prosthetic Erosion

Bush, Larry M. MD, FACP*†; Zad, Omid MD†‡; Khan, Yasmeen MD; Chaparro-Rojas, Fredy MD; Hasan, Syed M. MD; Zeltzer, Jack MD§; Perez, Maria T. MD, FCAP

Infectious Diseases in Clinical Practice: November 2009 - Volume 17 - Issue 6 - p 374-377
doi: 10.1097/IPC.0b013e3181a74cfc
Review Articles

As the population of the United States ages, the incidence and prevalence of abdominal aortic aneurysms will increase. Elective treatment modalities for aneurysms larger than 5.5 cm include open surgical repair and more recently, endovascular stent graft placement. Infection of the latter is a potentially devastating complication that has not been as extensively reported and analyzed compared with the traditional open surgical approach. We report a polymicrobial infection complication of a remotely placed endovascular stent graft due to an aorto-enteric para-prosthetic erosion.

From the *Division of Infectious Diseases, JFK Medical Center, Palm Beach County; †University of Miami, Miller School of Medicine and Florida Atlantic University; ‡Department of Medicine; §Department of Surgery, JFK Medical Center, Palm Beach County; and ∥Department of Pathology and Laboratory Medicine, University of Miami, Miller School of Medicine, Miami, FL.

Reprints: Larry M. Bush, MD, FACP, JFK Medical Center, Palm Beach County, FL. E-mail: DRLARRY561@AOL.COM.

© 2009 Lippincott Williams & Wilkins, Inc.