Excision Of Infected Graft Treatment in India
About Excision Of Infected Graft
Key Highlights
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Eliminates a life-threatening source of systemic infection (sepsis).Prevents catastrophic complications like graft rupture or mycotic aneurysm formation.Alleviates symptoms such as persistent fever, pain, and drainage at the surgical site.Essential step before considering any future vascular reconstruction or re-grafting.Performed by specialized cardiologists or cardiothoracic surgeons with expertise in complex re-operative surgery.
Who is this surgery for?
- Confirmed infection of a vascular graft (e.g., CABG, aortic graft) evidenced by imaging (CT, PET scan) and positive cultures.
- Persistent bacteremia or sepsis with a suspected graft source.
- Local signs of infection: purulent drainage, wound dehiscence, erythema, or pain over the graft site.
- Formation of a pseudoaneurysm or mycotic aneurysm related to the graft.
- Graft-enteric erosion or fistula (communication between graft and intestine).
- Failure of prolonged, targeted intravenous antibiotic therapy to resolve the infection.
How to prepare
- Comprehensive imaging (CT angiography, PET-CT, or MRI) to map the extent of infection and plan surgical access.
- Identification of the causative organism(s) through blood cultures or image-guided aspiration to guide antibiotic therapy.
- Pre-operative administration of broad-spectrum intravenous antibiotics, later tailored to culture results.
- Detailed cardiac and overall health assessment, as patients often have significant co-morbidities.
- Planning for possible revascularization strategy (e.g., new bypass route) if needed after graft removal.
- Informed consent process detailing the high-risk nature of the surgery and potential outcomes.
Risks & possible complications
- Major bleeding during dissection of scar tissue and infected graft.
- Damage to surrounding vital structures (nerves, organs, other vessels).
- Limb ischemia or organ damage if blood flow cannot be adequately restored after graft removal.
- Stroke, heart attack, or respiratory failure due to the physiological stress of major surgery.
- Recurrent or persistent infection requiring further debridement.
- Need for amputation (in cases of peripheral graft infection with irreversible ischemia).
- Death, as this is a high-risk procedure often performed on critically ill patients.
Recovery & hospital stay
- Initial recovery in the Intensive Care Unit (ICU) for close monitoring of vital signs and graft site.
- Continued course of intravenous antibiotics for 4-6 weeks or longer, as determined by infectious disease specialists.
- Meticulous wound care; some wounds may be left open to heal by secondary intention or with vacuum-assisted closure.
- Gradual mobilization with physical therapy to rebuild strength and prevent complications like pneumonia.
- Long-term follow-up with imaging to monitor for any signs of recurrent infection or complications.
- Lifestyle modifications and strict control of risk factors (e.g., diabetes, smoking) to protect any new grafts and overall vascular health.
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Typical hospital stay:
7-14 days
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Expected recovery time:
3-6 months for full recovery
Frequently Asked Questions
If you are considering excision of infected graft in India, these questions and answers can help you make a confident, informed decision.
Popular choices for excision of infected graft in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Dhakuria, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform excision of infected graft. MediFyr helps you compare cardiologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for excision of infected graft compare across other countries where we have data.
Top hospitals for Excision Of Infected Graft in India
These partner hospitals in India have dedicated cardiology teams and experience managing patients undergoing excision of infected graft.
Hyderabad, India
67 Doctors
Sara Patel, a 58-year-old retired school...
Sara Patel, a 58-year-old retired school librarian, had a coronary artery bypass graft (CABG) two years ago after a heart attack. She was managing well until three months ago, when she developed persistent fatigue, low-grade fevers, and a tender, red area over her sternum. Her primary care doctor treated her for a skin infection, but the symptoms returned. Her cardiologist, Dr. Evans, ordered a CT scan which revealed a deep sternal wound infection involving the saphenous vein graft used in her surgery. He explained that the infected graft was a source of ongoing sepsis and a major risk for future complications, requiring an 'Excision of Infected Graft.' Sara was terrified of another major surgery. The procedure involved removing the infected graft tissue and a prolonged course of IV antibiotics. The recovery in the hospital was slow and painful, but the fevers and redness subsided. After six weeks of home health care for antibiotics, her energy finally returned. Emotionally, she moved from fear and frustration about this setback to immense relief and gratitude for her care team, feeling she had her life back.
Cardiologists for Excision Of Infected Graft
Explore experienced cardiologists who regularly perform excision of infected graft and provide pre- and post-operative care in India.
- 22 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 29 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 7 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 12 Years Experience
- Cardiologist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiologist
- 20 Years Experience
- Cardiologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Cardiologist
Manipal Hospital Whitefield, Bangalore
- 20 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 22 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 18 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 33 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 55 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 35 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 11 Years Experience
- Cardiologist
Manipal Hospital Patiala, Patiala