Work

Neoaortoiliac reconstruction for a Histoplasma capsulatum endograft infection

Year: 2025

Type: article

Abstract: We present a case of a 64-year-old male with a history of endovascular abdominal aortic aneurysm repair (EVAR) in 2015, who developed a graft infection due to Histoplasma capsulatum in 2025. The patient underwent a neo-aortoiliac system (NAIS) procedure using autologous femoral veins for reconstruction with continued itraconazole therapy in the outpatient setting. This case underscores the importance of considering fungal pathogens in graft infections and highlights the effectiveness of the NAIS procedure in conjunction with antimicrobials in managing such complex cases.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.102075

Authors: Punit Vyas, Grant Woodruff, Thomas Naslund

Institution: Vanderbilt University Medical Center

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250