Background: Stent graft infection (SGI) caused by Burkholderia cepacia complex is rare. The usage of ascending-to-descending aortic bypass (ADAB) in such situations has not yet been fully discussed. Methods: Case report and literature review. Results: We describe a case of SGI caused by B. cepacia complex after multiple surgical interventions because of an injury from a fall. The successful management encompassed thoracic endovascular aortic repair, antibiotic agents, device removal, and ADAB. Conclusion: Our report highlights the ADAB technique in addressing the progression of infection after multiple minimally invasive thoracic procedures for emergent thoracic trauma. The ADAB technique could be considered a viable option in certain clinical scenarios in SGI.
Keywords: Burkholderia cepacia complex; aortic bypass; ascending-to-descending aortic bypass; cardiovascular operation; post-operative complications; stent graft infection.