About the journal

Cobiss

Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 3-4, Pages: 225-228
https://doi.org/10.2298/SARH1104225P
Full text ( 299 KB)


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 ORCID iD icon (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

More data about this article available through SCIndeks