An infected aortic endograft is an uncommon event, and when it happens it can be of significant morbidity and mortality to the patient. We present here a case of a patient with an infected aortic endograft following percutaneous translumbar sac embolization for a type II endoleak leading to sac expansion. The cultured pathogen was Propionibacterium acnes, a commonly occurring skin bacterium that leads to the clinical condition “acne vulgaris.” The patient underwent graft explantation and reconstruction with autogenous femoral vein. To our knowledge, there are no previously published reports of aortic graft infections with P acnes.
HoboRButhJ; EUROSTAR collaborators. Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report. J Vasc Surg. 2006;43(5):896–902.
2.
SaracTPGibbonsCVargasL. Long-term follow-up of type II endoleak embolization reveals the need for close surveillance. J Vasc Surg. 2012;55(1):33–40.
3.
ChaikofELBrewsterDCDalmanRL. The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. J Vasc Surg. 2009;50(suppl 4):S2–S49.
4.
VogelTRSymonsRFlumDR. The incidence and factors associated with graft infection after aortic aneurysm repair. J Vasc Surg. 2008;47(2):264–269.
5.
BaumRACarpenterJPGoldenMA. Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: comparison of transarterial and translumbar techniques. J Vasc Surg. 2002;35(1):23–29.
6.
RialRSerranoFJVegaM. Treatment of type II endoleaks after endovascular repair of abdominal aortic aneurysms: translumbar puncture and injection of thrombin into the aneurysm sac. Eur J Vasc Endovasc Surg. 2003;27(3):333–335.
7.
DickFDiehmNGerberM. Aortitis following percutaneous aortic side branch embolization prior to endovascular repair of infrarenal aortic aneurysm. J Endovasc Ther. 2007;14(6):801–804.
8.
O’ConnorSAndrewPBattMBecqueminJP. A systematic review and meta-analysis of treatments for aortic graft infection. J Vasc Surg. 2006;44(1):38–45.
9.
BergerPMollFL. Aortic graft infections: is there still a role for axillobifemoral reconstruction?Semin Vasc Surg. 2011;24(4):205–210.
