{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:10:05Z","timestamp":1756325405744,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,26]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Infections of proximal aortic vascular grafts are a catastrophic complication of aortic surgery. Despite aggressive antimicrobial and surgical intervention, mortality and reinfection rates remain significant. Here, we describe a man aged 71 years with a medical history of bioprosthetic aortic valve with aortic arch replacement (modified Bentall\u2019s procedure), who developed a large periprosthetic abscess due to <jats:italic>Staphylococcus aureus<\/jats:italic> 7 years after his initial surgery. The patient\u2019s preference was to avoid redo surgery, however despite high-dose intravenous flucloxacillin and oral rifampicin therapy, there was rapid progression of the abscess, necessitating urgent surgery. Notwithstanding the burden of infection, the patient underwent successful surgical excision and graft re-implantation and remains independent and well, almost 2 years postoperatively.<\/jats:p>","DOI":"10.1136\/bcr-2019-230204","type":"journal-article","created":{"date-parts":[[2019,9,7]],"date-time":"2019-09-07T07:15:20Z","timestamp":1567840520000},"page":"e230204","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Massive prosthetic aortic abscess: an overarching plight 7 years post-Bentall\u2019s procedure"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0643-7927","authenticated-orcid":false,"given":"Michael","family":"McCann","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikki","family":"Stamp","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Larbalestier","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,9,6]]},"reference":[{"key":"2025082712520069000_12.9.e230204.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00355-0"},{"key":"2025082712520069000_12.9.e230204.2","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.diagmicrobio.2017.03.002","article-title":"Graft infection after a Bentall procedure: a case series and systematic review of the literature","volume":"88","author":"Machelart","year":"2017","journal-title":"Diagn Microbiol Infect Dis"},{"key":"2025082712520069000_12.9.e230204.3","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dki382"},{"key":"2025082712520069000_12.9.e230204.4","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1111\/jocs.13792","article-title":"Management of thoracic aortic graft infections","volume":"33","author":"Bianco","year":"2018","journal-title":"J Card Surg"},{"key":"2025082712520069000_12.9.e230204.5","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/jocs.13710","article-title":"Reoperation for composite valve graft failure: Operative results and midterm survival","volume":"33","author":"Maroto","year":"2018","journal-title":"J Card Surg"},{"key":"2025082712520069000_12.9.e230204.6","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.oa.13-00059"},{"key":"2025082712520069000_12.9.e230204.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.05.115"},{"key":"2025082712520069000_12.9.e230204.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)02410-9"},{"key":"2025082712520069000_12.9.e230204.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.12.024"},{"key":"2025082712520069000_12.9.e230204.10","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(10)70285-1"},{"key":"2025082712520069000_12.9.e230204.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.05.059"},{"key":"2025082712520069000_12.9.e230204.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.02.055"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:52:09Z","timestamp":1756324329000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,9,6]]},"published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1136\/bcr-2019-230204"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230204","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}