Infected aortic endograft with an unusual microbe, Burkholderia cepacia

With the growing use of endovascular aortic repair for aortic aneurysm pathology, multiple cases have been reported of associated endovascular graft infections. Explantation of the infected endograft and the revascularization procedure performed should be individualized with attention to the offendi...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2023-12, Vol.9 (4), p.101295, Article 101295
Main Authors: Foulke, Evan E., Powell, Benjamin C., Salomon, Brett, Arnold, Joshua, Freeman, Michael B.
Format: Article
Language:English
Subjects:
Burkholderia cepacia
Case report
Endograft infection
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Summary:With the growing use of endovascular aortic repair for aortic aneurysm pathology, multiple cases have been reported of associated endovascular graft infections. Explantation of the infected endograft and the revascularization procedure performed should be individualized with attention to the offending organism. We present the cases of two patients who underwent endovascular aortic repair with the same endograft and developed a graft infection with Burkholderia cepacia, a gram-negative organism with low virulence. Both endografts cultured Burkholderia cepacia complex; however, the organisms were genetically tested and found to be separate, unrelated strains. Both patients underwent successful explantation and revascularization procedures without any surgical-related complications to date.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101295