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Thorac Cardiovasc Surg
DOI: 10.1055/a-2266-7574
Original Cardiovascular

Comparison of Different Surgical Approaches for Treating Aortic Graft Infections

Yu Xia
1   Department of Cardiovascular Surgery, Deltahealth Hospital Shanghai, Shanghai, China
,
Lizhong Sun
1   Department of Cardiovascular Surgery, Deltahealth Hospital Shanghai, Shanghai, China
,
Kaitao Jian
1   Department of Cardiovascular Surgery, Deltahealth Hospital Shanghai, Shanghai, China
,
Hao Peng
1   Department of Cardiovascular Surgery, Deltahealth Hospital Shanghai, Shanghai, China
,
Yi Lin
1   Department of Cardiovascular Surgery, Deltahealth Hospital Shanghai, Shanghai, China
,
Wei Liu 
1   Department of Cardiovascular Surgery, Deltahealth Hospital Shanghai, Shanghai, China
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Abstract

Background There is still no guideline or consensus on the treatment of aortic graft infection. This study reported and compared conservative and surgical treatment and different surgical methods for aortic graft infection.

Methods Data from aortic graft infections treated at our institution between February 2017 and June 2022 were retrospectively analyzed. Clinical data and surgical approaches were evaluated.

Results This article retrospectively analyzed the treatment and prognosis of 48 patients (43 males) with aortic graft infection. The patients were divided into conservative treatment group (n = 15) and surgical treatment group (n = 33). During follow-up, the mortality rate of the conservative treatment group was significantly higher than that of the surgical treatment group (p < 0.05). The survival curve also showed that the survival time of the surgical treatment group was longer than that of the conservative treatment group (p < 0.05). The surgical treatment group included local treatment (n = 5), in situ replacement (n = 8), and bypass surgery (n = 20) groups. There was no significant difference in the mortality rate at 1 month or final follow-up among the local treatment, in situ replacement, and bypass surgery groups.

Conclusion Surgical treatment is the optimal option for treating aortic graft infections compared to conservative treatment.

Keywords

aortic graft infection - surgical treatment - conservative treatment - mortality

Ethics Approval Statement

This study was approved by the ethics committee of DeltaHealth Hospital. In addition, all subjects provided informed consent prior to participation. All methods in the study were carried out in accordance with the Helsinki guidelines and declaration.


Data Availability

The data sets used and/or analyzed during the present study are available from the corresponding author on reasonable request.




Publication History

Received: 12 September 2023

Accepted: 09 February 2024

Accepted Manuscript online:
12 February 2024

Article published online:
05 April 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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