Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 3-4, Pages: 225-228
https://doi.org/10.2298/SARH1104225P
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Wound infection after carotid artery endarterectomy caused by methicillin-resistant Staphylococcus aureus: Case report
Popov Petar (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje”, Beograd)
Tanasković Slobodan (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje”, Beograd)
Matić Predrag (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje”, Beograd)
Babić Srđan (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje”, Beograd)
Nenezić Dragoslav (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje”, Beograd)
Jovanović Predrag (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti "Dedinje", Beograd)
Ilijevski Nenad (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje”, Beograd)
Vučurević Goran (Klinika za vaskularnu hirurgiju, Institut za kardiovaskularne bolesti „Dedinje”, Beograd)
Introduction. Carotid endarterectomy is a safe and reliable surgical
procedure to treat the narrowing of the internal carotid artery greater than
70%. One of the most serious complications of surgical wound after
endarterectomy is an infection caused by methicillin-resistant Staphylococcus
aureus (MRSA) which is accompanied with high morbidity and mortality. Case
Outline. A 62-year-old woman developed a graft infection caused by MRSA after
a carotid endarterectomy with synthetic graft placement. Two years after
unsuccessful antibiotic and local wound treatment, we replaced the infected
graft by an autologous saphenous vein conduit. Conclusion. The case suggests
that only by aggressive surgical approach with replacement of infected graft
a successful outcome can be achieved in such a rare but potentially fatal
post-operative complication.
Keywords: carotid artery, infection, Staphylococcus aureus, MRSA
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