Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft

We report the case of an 82-year-old patient with an infected abdominal aortic endograft who presented with a right psoas abscess and lumbar osteomyelitis. The psoas abscess was drained percutaneously. Fluid obtained grew Fusobacterium nucleatum. The patient, an active and highly functional individu...

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Main Authors:	Brandon Neil Glousman, BS, Robyn Macsata, MD, Jillian Catalanotti, MD, MPH, Shawn Sarin, MD, Anton Sidawy, MD, MPH, Bao-Ngoc Nguyen, MD
Format:	Article
Language:	English
Published:	Elsevier 2019-06-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428719300127

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spelling	doaj-40bbdf7facb64282840ed4316ff5b9672020-11-24T21:12:02ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-06-0152139142Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograftBrandon Neil Glousman, BS0Robyn Macsata, MD1Jillian Catalanotti, MD, MPH2Shawn Sarin, MD3Anton Sidawy, MD, MPH4Bao-Ngoc Nguyen, MD5Department of Surgery, George Washington University, Washington, D.C; Correspondence: Brandon Neil Glousman, BS, Division of Vascular Surgery, Department of Surgery, George Washington University, 2150 Pennsylvania Ave NW, Fl 6, Washington, DC 20037Department of Surgery, George Washington University, Washington, D.CDepartment of Medicine, George Washington University, Washington, D.CDepartment of Radiology, George Washington University, Washington, D.C.Department of Surgery, George Washington University, Washington, D.CDepartment of Surgery, George Washington University, Washington, D.CWe report the case of an 82-year-old patient with an infected abdominal aortic endograft who presented with a right psoas abscess and lumbar osteomyelitis. The psoas abscess was drained percutaneously. Fluid obtained grew Fusobacterium nucleatum. The patient, an active and highly functional individual, wished to pursue definitive management. The infected endograft was surgically removed, and the aorta was ligated above the renal arteries after staged axillary-bifemoral, hepatorenal, and splenorenal bypasses. Keywords: Abdominal aortic endograft infection, Hepatorenal bypass, Splenorenal bypass, Axillobifemoral bypass, Aortic ligationhttp://www.sciencedirect.com/science/article/pii/S2468428719300127
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Brandon Neil Glousman, BS Robyn Macsata, MD Jillian Catalanotti, MD, MPH Shawn Sarin, MD Anton Sidawy, MD, MPH Bao-Ngoc Nguyen, MD
spellingShingle	Brandon Neil Glousman, BS Robyn Macsata, MD Jillian Catalanotti, MD, MPH Shawn Sarin, MD Anton Sidawy, MD, MPH Bao-Ngoc Nguyen, MD Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Brandon Neil Glousman, BS Robyn Macsata, MD Jillian Catalanotti, MD, MPH Shawn Sarin, MD Anton Sidawy, MD, MPH Bao-Ngoc Nguyen, MD
author_sort	Brandon Neil Glousman, BS
title	Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft
title_short	Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft
title_full	Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft
title_fullStr	Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft
title_full_unstemmed	Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft
title_sort	preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2019-06-01
description	We report the case of an 82-year-old patient with an infected abdominal aortic endograft who presented with a right psoas abscess and lumbar osteomyelitis. The psoas abscess was drained percutaneously. Fluid obtained grew Fusobacterium nucleatum. The patient, an active and highly functional individual, wished to pursue definitive management. The infected endograft was surgically removed, and the aorta was ligated above the renal arteries after staged axillary-bifemoral, hepatorenal, and splenorenal bypasses. Keywords: Abdominal aortic endograft infection, Hepatorenal bypass, Splenorenal bypass, Axillobifemoral bypass, Aortic ligation
url	http://www.sciencedirect.com/science/article/pii/S2468428719300127
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Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft

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