Improving survival and limb salvage in patients with aortic graft infection

Richard A. Yeager, Gregory L. Moneta, Lloyd M. Taylor, E. John Harris, Donald B. McConnell, John M. Porter

Research output: Contribution to journalArticle

83 Scopus citations

Abstract

A 15-year experience with 38 aortic graft infections, including 15 patients with graft enteric fistulas, is reviewed in order to analyze modern-day surgical results utilizing extra-anatomic bypass and aortic graft excision. Perioperative mortality was 14% during the most recent 7-year interval, which was a notable improvement compared with the earlier time interval (p=0.06). Extended follow-up of the perioperative survivors demonstrated a 77% cumulative 5-year survival and a 76% cumulative 5-year limb salvage rate. Subsequent axillofemoral graft infection occurred in 22% of survivors and resulted in a significantly higher amputation rate compared with those patients with no axillofemoral graft infection (p<0.001). The results suggest good perioperative and long-term survial in patients with aortic graft infection, with excellent limb salvage if subsequent axillofemoral graft infection can be avoided.

Original languageEnglish (US)
Pages (from-to)466-469
Number of pages4
JournalThe American Journal of Surgery
Volume159
Issue number5
DOIs
StatePublished - May 1990

ASJC Scopus subject areas

  • Surgery

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