2018 Volume 27 Issue 5 Pages 423-428
We report a successfully treated case of prolonged infection after endovascular treatment for MRSA-related infected abdominal aortic aneurysm using suprarenal fixed endograft. An 82-year-old man had no major omentum because of multiple abdominal surgical operations for colonic cancer and gastrointestinal stromal tumor. Before 29 months, impending rupture of infected abdominal aortic aneurysm by MRSA was treated endovascular aortic repair using suprarenal fixed endograft. MRSA infection was treated antibiotics and open drainages but it was not completely controlled. Radical operation for endograft infection was performed by extraanatomic reconstruction and removal of endograft without omental covering over infectious space. Intravenous antibiotics had been administrated for 4 weeks postoperatively. There was no recurrence of MRSA infection during 28 months after radical operation.
