Page 62 - Virtual Vascular Vol 3

Infected EVAR

Fasciotomy

n infected EVAR graft is a highly lethal
Acondition. This patient has a EVAR for a

suspected mycotic aneurysm in 2015. Subse-
quent CT scan showed a diffuse mass around
the aneurysm with involvement of the R psoas
muscle and vertebral body. There is evidence
of gas inside the aneurysm sac suggestive of
gas-forming organisms. Treatment would
require surgical removal of the graft, wide de-
bridement, and extra-anatomical bypass with
significant mortality risk.

35 yr old male presented

with acutely swollen and
tense lower limb with
ECMO in situ.

62 63