Key result
In-situ aortic reconstruction with a physician-made bovine pericardium graft achieved stable patency, no reinfection, and reduced CRP from 222 to 2.5 mg/L at 9 months in a 65-year-old male.
Why the study?
Graft infection is a rare, life-threatening complication after endovascular aortic repair (EVAR), and literature on late-stage endograft infection associated with dental procedures is limited.
Case Report (n=1)
No
This case report demonstrates the successful use of a physician-made bovine pericardium graft for in-situ aortic reconstruction to treat a late-stage, dental procedure-associated EVAR endograft infection.
Answers are grounded in this paper and cite their sources.
May support individualized use of bovine pericardium grafts in select aortic infections; hypothesis-generating case report requiring prospective validation.
Graft infection is a rare but life-threatening complication after endovascular aortic repair (EVAR).This case adds to the limited literature on dental procedure-associated late-stage endograft infection.We report a case of a 65-year-old male who developed a methicillin-susceptible Staphylococcus aureus endograft infection, five years after an elective EVAR, two months after a dental extraction performed without antibiotic chemoprophylaxis.After conservative treatment failed, the patient underwent complete removal of the infected endograft and in-situ reconstruction of the aorta with a physician-made bovine pericardium.Postoperative recovery was complicated by acute kidney injury requiring long-term hemodialysis; at followup, the patient demonstrated stable graft patency, normalized inflammatory markers, and no evidence of reinfection.This case supports bovine pericardium as a reliable biological material in complex vascular reconstruction.It underscores the need for strict antibiotic chemoprophylaxis before invasive dental procedures in stent graft patients and highlights the importance of early multidisciplinary diagnosis and prompt intervention in improving prognosis.
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Farao et al. (2026) conducted a case report in Methicillin-susceptible Staphylococcus aureus aortic endograft infection complicated by contained aneurysmal sac rupture after endovascular aortic repair (EVAR) (n=1). Complete endograft explantation and in-situ aortic reconstruction with a physician-made bifurcated bovine pericardium graft (10x16 cm XenoSure patch) plus targeted antimicrobial therapy was evaluated on Graft patency, freedom from reinfection, and resolution of inflammatory markers (CRP) at 9 months. In-situ aortic reconstruction with a physician-made bovine pericardium graft achieved stable patency, no reinfection, and reduced CRP from 222 to 2.5 mg/L at 9 months in a 65-year-old male.
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