Endograft infection as a late EVAR complication in patients with aortic pseudoaneurysm and previous urological procedures. A report of two cases

Endograft infection is a rare endovascular aortic repair (EVAR) complication with high mortality and morbidity. We report two cases of endograft infection occurred in patients with previous urological procedures who underwent to EVAR for aortic-iliac pseudoaneurysm. The infections were treated with a surgical conversion through arterial homograft. In both cases an homograft complication occurred and it was treated by a new endograft implantation (re-EVAR) and lifetime antibiotic therapy. After 21 months of follow-up both patients are alive and free from aortic complications. In this paper we suggest the correlation between endograft infection and previous urological surgery.