Unexplained fever following DeBakey type I aortic dissection repair with woven Dacron grafts. Issue 6 (25th March 2021)

• Record Type: Journal Article
• Authors: Nantsios, Alex; Rubens, Fraser D
• Is Part Of: Journal of cardiac surgery. Volume 36:Issue 6(2021)
• Page Start: 2175
• Page End: 2178
• Publication Date: 2021-03-25
• Subjects: aortic surgery -- fever of unknown origin -- inflammation; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.15497
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Transient fever is not uncommon postcardiac surgery, usually related to underlying clinical process such as inflammation related to the physiological insult or infection. Here, we present a case series of two patients who underwent repair for type A aortic dissection with Gelweave graft prosthesis who had persistent fevers, leukocytosis, and raised inflammatory markers persisting months after surgery. Both patients were found to have sterile perigraft fluid collections. Comprehensive investigations excluded common causes of postoperative inflammation, as well as rarer causes of fever of unknown origin. The presence of this idiopathic inflammatory state lead to extended hospitalization and resource utilization, prompting need for further characterization of its mechanism and proper management.