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 language | English (US) |
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Pages (from-to) | 466-469 |
Number of pages | 4 |
Journal | The American Journal of Surgery |
Volume | 159 |
Issue number | 5 |
DOIs | |
State | Published - May 1990 |
ASJC Scopus subject areas
- Surgery