Q:

The appropriate treatment in most situations of an aortic abdominal graft that has become infected is:

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The appropriate treatment in most situations of an aortic abdominal graft that has become infected is:


  1. Intravenous antibiotics and observation for future complications.
  2. Catheter drainage at the site of infection.
  3. Replacement of the infected graft with another prosthetic graft
  4. Excision of the entire graft and insertion of axillobifemoral grafts.

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D. Excision of the entire graft and insertion of axillobifemoral grafts.

DISCUSSION: Many forms of management have been tried and occasionally recommended. The most appropriate treatment for most patients with an infected graft is removal of the entire graft, closure of the iliac or femoral arteries distal to the insertion of the graft, and placement of axillobifemoral grafts. 

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