Pasturella multicoda infection of an abdominal aortic endograft

Figure 1 An endovascular repair of a saccular aneurysm of the infra-renal aorta. A: Original Saccular aneurysm. Etiology was never defined; B: Post endovascular repair.

Figure 2 Fluid and phlegmon surrounding the graft. A: Coronal view when patient presented demonstrating residual sac and new left sided fluid; B: Axial view demonstrating peri-graft fluid and phlegmon.

Figure 3 Operative pictures. A: Operative picture demonstrating the dense phlegmon with proximal clamp below renal arteries; B: Operative picture with proximal anastomosis complete and after debridement of the phlegmon and aortic wall.

Figure 4 Computer tomographic angiography at one year follow up.