Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2011-5-10
pubmed:abstractText
We describe the influence of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia on histopathological alteration of a glutaraldehyde-fixed equine pericardial roll (EPR) graft in a 77-year-old male who underwent in-situ EPR replacement of a ruptured infected abdominal aorta with concomitant repair of the perforated duodenum. The patient died of circulatory failure after septic shock due to MRSA infection and gastrointestinal bleeding on postoperative day (POD) 23. The autopsy revealed no perforation of the EPR graft or anastomotic disruption between the native abdominal aorta and EPR graft. Histological examination revealed that the inner layer of the EPR graft was colonized and damaged by Gram-positive cocci (MRSA suspected). We therefore suggest that the infection-resistant property of EPR grafts may be uncertain in patients with postoperative sustained MRSA bacteremia when these grafts are used for arterial reconstruction.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1569-9285
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
866-8
pubmed:meshHeading
pubmed-meshheading:21303871-Aged, pubmed-meshheading:21303871-Aneurysm, Infected, pubmed-meshheading:21303871-Animals, pubmed-meshheading:21303871-Aortic Aneurysm, Abdominal, pubmed-meshheading:21303871-Aortic Rupture, pubmed-meshheading:21303871-Autopsy, pubmed-meshheading:21303871-Bioprosthesis, pubmed-meshheading:21303871-Blood Vessel Prosthesis, pubmed-meshheading:21303871-Blood Vessel Prosthesis Implantation, pubmed-meshheading:21303871-Duodenum, pubmed-meshheading:21303871-Fatal Outcome, pubmed-meshheading:21303871-Gastrointestinal Hemorrhage, pubmed-meshheading:21303871-Horses, pubmed-meshheading:21303871-Humans, pubmed-meshheading:21303871-Intestinal Perforation, pubmed-meshheading:21303871-Male, pubmed-meshheading:21303871-Methicillin-Resistant Staphylococcus aureus, pubmed-meshheading:21303871-Pericardium, pubmed-meshheading:21303871-Prosthesis Design, pubmed-meshheading:21303871-Prosthesis-Related Infections, pubmed-meshheading:21303871-Shock, pubmed-meshheading:21303871-Shock, Septic, pubmed-meshheading:21303871-Staphylococcal Infections, pubmed-meshheading:21303871-Treatment Outcome
pubmed:year
2011
pubmed:articleTitle
Vulnerability of an equine pericardial roll graft to Gram-positive cocci after graft replacement for a ruptured infected abdominal aorta.
pubmed:affiliation
Department of Cardiovascular Surgery, Akita University School of Medicine, Hondo 1-1-1, Akita 010-8543, Japan. f-yama@cvs.med.akita-u.ac.jp
pubmed:publicationType
Journal Article, Case Reports