N. Kontopodis, E. Tavlas, S. Lioudaki
Nov 25, 2019
Annals of vascular surgery
Aortic or iliac graft infection is a serious complication in vascular surgery which carries significant risks for the patient's limb and life and requires complex treatment. We report a patient who presented septic due to a previous ilio(common iliac)-femoral(profunda femoris) graft infection. Taking into account that the superficial femoral and popliteal arteries were occluded (no suitable target vessel, except for the distal profunda femoral) and the fact that he presented Methicilin Resistant Staphylococcus aureus positive blood cultures, the patient was scheduled for excision of the contaminated graft and in-situ reconstruction. Along with the femoral vein, a segment of the adjacent occluded superficial femoral artery was used after eversion endarterectomy in order to ensure adequate homograft length to perform the bypass. To our knowledge this is the first report of this technique which can be particularly useful in similar settings.