Halak Moshe, Heldenberg Eitan, Silverberg Daniel, Schneiderman Jacob
Department of Vascular Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
Vascular. 2012 Apr;20(2):104-6. doi: 10.1258/vasc.2010.cr0245. Epub 2011 Jun 29.
Endovascular aortic aneurysm repair (EVAR) is establishing its role as a valid alternative for the treatment of abdominal aortic aneurysm. Post-EVAR graft infection is a rare and devastating complication. The incidence of post-EVAR graft infection is yet to be defined, and available data at this stage consist of case reports and small series. Possible etiologies for aortic stent-graft infection include perioperative contamination and hematogenous seeding. To the best of our knowledge, this is the first report of post-EVAR stent graft infection with Clostridium septicum. The possible mechanisms of this unusual hematogenous seeding have been discussed.
血管内主动脉瘤修复术（EVAR）正在确立其作为治疗腹主动脉瘤有效替代方法的地位。EVAR术后移植物感染是一种罕见且具有破坏性的并发症。EVAR术后移植物感染的发生率尚未明确，现阶段可得数据仅包括病例报告和小样本系列研究。主动脉覆膜支架感染的可能病因包括围手术期污染和血行播散。据我们所知，这是首例关于产气荚膜梭菌引起的EVAR术后覆膜支架感染的报告。本文还讨论了这种不寻常血行播散的可能机制。
