Aortic Graft Infection

Improved Essays
Aortic graft infection is rare and carries a poor prognosis. The conventional managements for prosthetic graft infection are surgical debridement, removal of the infected graft, and reconstruction with the new graft prosthesis. However, these approaches are not feasible for some patients with anatomical difficulty of excision or severe comorbid medical illnesses. We report a case of aortic prosthetic graft infection treated successfully with long term antibiotics without surgical intervention.
A 47-year-old man had undergone descending thoracic aortic reconstruction with woven Dacron graft for post-ductal coarctation of the descending aorta at the age of 15. He had a high fever and back pain on admission. Contrasted chest computed tomography

Related Documents

  • Improved Essays

    When Dr. Willams began the operation he found out that the pericardium, the sack that surrounds the heart had been cut. Dr. Willams successfully repaired the pericardium and stitched saved the patient’s life.…

    • 876 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    The financial burden associated with treating Central Line Associated Bloodstream Infections (CLASBI) in the acute care setting of one average adult patient is estimated to cost: $5,000-$125,000 per episode. Central Line Associated Bloodstream Infections (CLASBI) are an area within the Healthcare field that is continuously in need of preventive measures. The multiple drug resistant strain of germs is a contributor to the already immunocompromised patient requiring a central line. Although central lines have been around since the 1970’s it wasn’t until the late 1980-2000, research began tracking and recording Central Line Associated Bloodstream Infections (CLASBI). At this time, the most frequent germs observed for central line infections was coagulase-negative staphylococci and Staphylococcus aureus for a total of 43% in the 1980’s.…

    • 2192 Words
    • 9 Pages
    Superior Essays
  • Decent Essays

    Rj's Wife Case Study

    • 277 Words
    • 2 Pages

    R.J.’s wife needs to know that her husband is getting the best care available. I would then explain how the heart has a sac around it to protect it – this is called the pericardium. His injury caused the pericardium to fill with fluids and blood, so the surgeon had to remove the fluid by carefully inserting a needle into the pericardium to drain the fluid. When the surgeon removes the fluid, it will allow your husband’s heart to work better and efficiently. We were careful to make sure R.J. did not feel any pain and he is now going to the intensive care unit for observation.…

    • 277 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    This study was conducted in which a group of patients who has already undergone this stenting procedure is followed/observed until death. The data collected focus on the occurrence of events needing medical intervention (re-vascularization, allergic reaction, infection, etc.). The essential conclusion reached from this study was…

    • 295 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Surgical Site Infections are related to delayed healing, increased patient morbidity and mortality, increased hospital stay, readmission and facility costs. Anderson et al. (2014) explains that these infections extend a patients hospital stay on average of 7 to 11 days and cost roughly $3.5 to $10 billion annually in healthcare expenditures according to the consumer price index for inpatient hospital services. Most of these costs are not reimbursed by insurance because they fall within the 30-day readmission rate. Shepard et al.…

    • 883 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Infections are a common risk factor for any patient in the hospital. The occurrence of an infection is an even greater concern when the patient receives an invasive procedure, such as placement of a Central Venous Access Device. With proper technique and licensed staff placing a central venous access device, the risk for complications can be minimized. Champions for Central Line Care is a journal that explains “the team approach for reducing CLABSIs. (Reed, Brock, & Anderson, 2014, p. 40)” CLABSI can be defined as a Central Line-Associated Blood Stream Infection (Giddens, 2014, p. 469).…

    • 730 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    A strong antibiotic will be injected intravenously, and depending how deep the infection has spread, muscles are evaluated to determine the damage. You can be left with anything from minor scarring to amputation of one or more limbs. Good and prompt hygiene is key in keeping a minor situation from developing into this major…

    • 437 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Central line associated bloodstream infections (CLABSI's) are one of the most deadly healthcare associated infections (HAI's). Approximately 12-25% of CLABSI's result in death and the average cost per case is about $26,000. In recent years, between 2001 and 2009, CLABSI incidences have decreased from 43,000 to 18,000. This has saved the health care industry 3-6,000 lives and approximately $414 million in ICU's in 2009 alone. To this day, many hospitals are now reporting zero CLABSI's.…

    • 415 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Arteriovenous fistula (AVF) is less common but well known complication of trauma. Posttraumatic arteriovenous fistula is one of curable causes of congestive heart failure. Heart failure due to traumatic AVF is a rarely encountered problem and often underdiagnosed and treatment is delayed.. Although the history of trauma is clear, the development of AVF is insidious and sometimes not obvious. Traumatic AVFs are usually caused by penetrating trauma, accounting for as many as 90 % of cases.…

    • 152 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    So, it seems like you will get to know the story about how I became myself. I was born in Garden City, Ks in August 22, 1996. Garden City is a small town at first, but now the town has been expanding throughout the year and from what I think of it, it’s not really that bad that it is getting some new stores and restaurants. When I was the age of two my parents were starting to notice that there was something off about me.…

    • 879 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    It is defined as narrowing of heart’s aortic valve. This narrowing keeps the valve from opening completely, which impedes blood flow out of the heart into the aorta going to the rest of the body. (LeMone & Bauldoff, 2014, p 1074). The heart needs to work harder to pump more blood to the body due to obstruction in the aortic valve.…

    • 185 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    He was brought to surgery after two months of observation, meetings, and discussion of his case by the surgical care team. The surgery was successful with the tissue being ablated. Later the patient developed severe chest pain that radiated to both shoulders. The situation was challenging, since the pain could have been due to the surgical ablation irritating the diaphragm and leading to shoulder pain, or angina. Dr Guzman treated him with sublingual and IV nitrates and the patient stopped breathing and became hypotensive.…

    • 675 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    On Tuesday, October 4th, I spent the day at The Miriam Hospital cardiac catheterization laboratory. Cardiac catheterization is an invasive On Tuesday, October 4th, I spent the day at The Miriam Hospital cardiac catheterization laboratory. Cardiac catheterization is an invasive diagnostic procedure that uses imaging equipment to identify if a patient has disease of the heart muscles, valves or coronary arteries (Smeltzer, 2011). Upon arriving at 0720 the nurse manager greeted me and the other student, and gave us a quick tour of the control area and examination room. We were informed about the safety precautions used to protect ourselves from imaging equipment and the patient 's from infection and were instructed to wear a lead apron, surgical…

    • 963 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Intraoperative blood mistransfusion is not a term many anesthesia professionals think of when administering blood products in the operating room, but it becomes an acute reality to you, your anesthesia department, and the operating room staff when it happens to your patient. Over the years, hospitals and governing agencies have set forth checks, guidelines, and protocols that have made mistransfusion sound like something from historical literature due to such improvement in patient safety, but mistransfusion still occurs today. According to the European Commission’s annual reporting of serious adverse events and reactions (SARE) reviewing 24,043,766 blood products administered over a year, the rate of a serious adverse event occurs 9.8 times…

    • 644 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Cardiac transplantation has emerged as an effective treatment modality for patients with end stage heart disease. According to the International Society for Heart and Lung Transplantation, it has been estimated that more than 5,000 heart transplants are performed every year worldwide(1). The Heart and Stroke Statistics 2012 update by American Heart Association estimated that about 2333 cardiac transplantation procedures were performed in 2010 in the United States alone(2).…

    • 639 Words
    • 3 Pages
    Improved Essays