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Case Report
 
Direct vancomycin irrigation as treatment for resistant aortic bed infection
Hannah Winter1, Isaac Nyamekye1
1Department of Vascular Surgery, Worcester Royal Hospital, Worcestershire, UK.

doi:10.5348/ijcri-2011-07-41-CR-1

Address correspondence to:
Miss Hannah Winter
48 West Street
Stourbridge
West Midlands, DY8 1XN
UK
Email: hwinter@doctors.org.uk

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How to cite this article:
Winter H, Nyamekye I. Direct vancomycin irrigation as treatment for resistant aortic bed infection. International Journal of Case Reports and Images 2011;2(7):1-3.


Abstract
Introduction: A case report of direct vancomycin irrigation as management of retroperitoneal abscess following removal of infected aortic graft.
Case Report: A 63-year-old man presented nine years following aortic aneurysm repair with recurrence of aneurysm. At re-operation, aortic graft infection was diagnosed and managed with graft excision, debridement, axillo-bifemoral bypass and prolonged systemic antibiotics. The abscess failed to resolve. Direct vancomycin irrigation via percutaneous drainage catheter led to resolution of infection.
Conclusion: There is little evidence to support vancomycin irrigation as treatment after removal of infected aortic grafts. Such an approach may be considered in patients failing to respond to traditional therapy.

Key Words: Vancomycin, Irrigation, Graft infection, Aneurysm, Aortic graft

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Author Contributions:
Hannah Winter - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Isaac Nyamekye - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
There are no conflicts of interest.
Copyright:
© Hannah Winter et. al. 2011; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)