A complicated aortic graft infection case after Bentall’s procedure

Abstract

Abstract Background: The aortic graft infection (AGI) is fatal and has rare evidences of treatment. Here, we report a complicated AGI case after Bentall’s procedure. Case presentation: A 54-year-old male with a history of Bentall’s procedure, ruptured right sinus aneurysm, ventricular septal defect(VSD) repair and right ventricular outflow tract stenosis(RVOTS) repair was admitted in our hospital with the chief complaint of poor heeling of incision, chilling and fever. Transthoracic echocardiography(TTE), contrast enhanced computed tomography(CECT) found a perigraft leakage pseudoaneurysm. After conservative treatment, the patient was underwent re-operation due to the growing giant pseudoaneurysm. After 8 weeks antibiotic therapy, the patient discharged with no complications. Conclusions: The treatment of AGI is comprehensive. Successful management requires a prompt diagnosis,sensitive and long-term postoperative antimicrobial therapy, and early surgery depending on the patients’ status and clinician’s experience.