Cardiovascular Pathology - Case 1 - Part 3
   

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On 8-31-02 the patient again came into the hospital for recurrent infection. Vascular studies of the graft and aortic runoff were performed in radiology. She was taken to the operating room for replacement of the graft. The graft was cultured and sent for surgical pathology.

Left iliac artery and femoral artery with take off of graft
Graft
Graft insertion to poplitteal artery
Distal run off from popliteal artery

Microbiology Report

Collected Date

Order Description

09/03/02

TISSUE CULTURE, GRAFT, " DISTAL GRAFT "

Name

Result

GRAM STAIN

NO ORGANISMS SEEN

GRAM STAIN

2+ PMNS

GRAM STAIN

1+ WBCS, NOT PMNS

FINAL REPORT

 

1+ COAGULASE NEGATIVE STAPHYLOCOCCUS SPECIES

1+ DIPHTHEROIDS

1. Is the graft patent?

2. How do the native vessels appear?

3. What do you think about the graft cultures?

4. A CXR and EKG were performed on 8-31 prior to surgery. Are there any signs of cardiac disease?

Admission CXR and EKG of 8-31-02
EKG
CXR 8-31-02, AP & lateral