1887
Volume 2011, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

A 54-year-old man was referred to our hospital because of a false aneurysm in his right groin following Aortobifemoral and femoropopliteal bypass surgery. He underwent false aneurysm repair and infrainguinal arterial reconstruction. He then developed MRSA sepsis in the right groin. The patient underwent a number of operations to remove the infected grafts and distal revascularization to allow limb salvage. His last operation was an iliofemoral bypass via extra-anatomical route, from just below the iliac crest into the popliteal artery using an 8 mm-ringed polyester gelatin polypropylene tube graft, with complete debridement of a groin infection. Postoperative duplex scan and 3-dimentional CT angiography revealed a patent prosthetic graft and the patient made uneventful postoperative recovery. We conclude that this extra-anatomical bypass is a safe technique and a good option for patients with an infected vascular prosthetic graft in the groin after previous revascularization.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2011.2.24
2011-12-01
2019-12-10
Loading full text...

Full text loading...

References

  1. Lorentzen JE, Nielsen OM, Arendrup H. Vascular graft infection: An analysis of 62 graft infections in 2411 consecutively implanted synthetic vascular grafts. Surgery. 1985; 98::8186.
    [Google Scholar]
  2. Yeager RA, Porter GM. Arterial and prosthetic graft infection. Ann Vase Surg. 1992; 6::485491.
    [Google Scholar]
  3. Calligra KD, Veith F. Diagnosis and management of infected prosthetic aortic grafts. Surgery. 1991; 110::805813.
    [Google Scholar]
  4. Nasim A, Thompson MM, Naylor AR, Bell PRE, London NJM. The impact of MRSA on vascular surgery. Eur J Vase Endovasc Surg. 2001; 22::211214.
    [Google Scholar]
  5. Murphy GJ, Pararajasingam R, Nasim A, Dennis MJ, Sayer RD. Methicillin-resistant Staphylococcus aureus infection in vascular surgical patients. Ann R Coll Surg Engl. 2001; 83::158163.
    [Google Scholar]
  6. Naylor AR, Hayes PD, Darke S. A prospective audit of complex wound and graft infections in Great Britain and Ireland: The emergence of MRSA. Eur J Vase Endovasc Surg. 2001; 21::289294.
    [Google Scholar]
  7. Chalmers RTA, Wolfe JHN, Cheshire NJY. Improved managemen t of infrainguinal bypass graft infection with methicillin-resistant Staphylococcus aureus. Br J Surg. 1999; 86::14331436.
    [Google Scholar]
  8. Mertens RA, O'Hara PJ, Hertzer NR, Krajewski LP, Beven EG. Surgical management of infrainguinal arterial prosthetic graft infections: Review of a thirty-five-year experience. J Vase Surg. 1995; 21::782791.
    [Google Scholar]
  9. Taylor SM, Weatherford DA, Langan EM 3rd, Lokey JS. Outcomes in the management of vascular prosthetic graft infections confined to the groin: a reappraisal. Ann Vase Surg. 1996; 10::117122.
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2011.2.24
Loading
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error