Abstract

LATE INFECTION OF ABDOMINAL AORTIC PROSTHESIS. CASE REPORT AND REVIEW

*Giovanna Piubelli Frioli, Gabriela Rodrigues Sousa, Mariana De Castro Pereira Padilha, Henrique Amorim Santos, Fernando Reis Neto and Jose Maria Pereira

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Abstract

Infection of aortic prostheses and endoprostheses are challenges that lead to high mortality. The objective of the present study is to report the technical approach in the partial resection of an infected prosthesis in the abdominal aorta. We report the case of a 59-year-old patient, hypertensive and smoker, who sought the vascular surgery outpatient clinic in August 2019, presenting with pain in the lower limbs associated with paresthesia and necrosis in the toes for 3 months. She underwent aortobifemoral graft surgery, which was uneventful. In March 2023, she returned with the infected prosthesis and underwent surgery to resect the iliac portion of the prosthesis that was infected. She progressed during and post-operatively without signs of infection. The surgical option of the infected portion of the abdominal aortic prosthesis is a less aggressive alternative in the surgical approach to these patients.

Keywords: Prostheses, end oprostheses, abdominal aorta, infection, treatment, surgery.