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Very Late Aortic Endograft Infection With Listeria monocytogenes in an Elderly Man
Authors:Jorge A Miranda  Ahmed Khouqeer  James J Livesay  Miguel Montero-Baker
Institution:1. Division of Vascular Surgery and Endovascular Surgery, Baylor College of Medicine, Baylor–St. Luke''s Hospital, Houston, Texas ; 2. Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas
Abstract:Endograft infection with Listeria monocytogenes is a rare, potentially devastating complication of endovascular aortic aneurysm repair. To our knowledge, only 8 cases have been reported. We describe the case of a 72-year-old man who presented with L. monocytogenes endograft infection and a 19-cm degenerative aneurysm 9 years after having undergone endovascular repair of an abdominal aortic aneurysm. The infection was successfully treated with open surgical excision of the infected aortoiliac endograft and its replacement with a rifampin-soaked, bifurcated Dacron graft.
Keywords:Antibacterial agents/therapeutic use  aortic diseases/surgery  aortic aneurysm  abdominal/surgery  Listeria monocytogenes  polyethylene terephthalates  prosthesis-related infections  rifampin  vascular surgical procedures/methods
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