摘要：Infection of endovascular stent-grafts is a severe complication, but not often reported. We report herein a case of a 61-year-old man presented with pneumonia-like symptoms 24 days after receiving laparoscopic resection of stage 1 sigmoid cancer. Acute pneumonitis and cancer recurrence were excluded on Ga-67 citrate imaging. An infected endovascular graft of the aortic arch, which had been placed 4 months previously, was depicted scintigraphically. Due to multiple comorbidities, the patient underwent decorticationsvia video-assisted thoracic surgery plus aggressive drainage. The symptoms settled and the patient was discharged on oral levofloxacin after intravenous treatment with ertapenem and teicoplanin for six weeks. This report fuels the belief that subclinical bacteremia associated with various procedures may incur bacterial seeding on the preexisting endovascular devices, and causes secondary prosthetic infection. In selected cases such as ours, prosthetic graft preservation may provide a definite treatment. Continued awareness of potential septic complications in patients treating with an endovascular grafting is needed.
