Spondylitis transmitted from infected aortic grafts: a review.

摘要: Graft infection following aortic aneurysms repair is an uncommon but devastating complication; its incidence ranges from <1% to 6% (mean 4%), with associated perioperative and overall mortality of 12% 17.5-20%, respectively. The most common causative organisms are Staphylococcus aureus Escherichia coli; bacteria typically arise the skin or gastrointestinal tract. pathogenetic mechanisms graft infections mainly breaks in sterile technique during implantation, superinfection bacteremia a variety sources, severe intraperitoneal retroperitoneal inflammation, inoculation postoperative percutaneous interventions manage various types endoleaks, external injury vascular graft. Mechanical forces direct relation device were implicated fistula formation 35% cases infection. Partial rupture migration leading gradual erosion bowel wall aortoenteric fistulas have been reported 30.8% cases. Rarely, via continuous tissues may affect spine, resulting spondylitis. Even though explantation surgical debridement usually preferred course action, comorbidities increased risk preclude patients surgery endorse conservative approach as treatment choice. In contrast, choice for spondylitis; be indicated approximately 8.5% neural compression excessive spinal To enhance literature, we searched related literature published studies on spondylitis infected endovascular grafts aiming summarize pathogenesis diagnosis, discuss outcome these rare complex infections.