Transiliac bypass for infected femoral end of an aortofemoral graft.
Infection of an aortofemoral fabric graft is among the most serious complications of vascular surgery and necessitates removal of the graft. The authors chose a transosseal (iliac bone) approach to permit a new graft to be carried down to the periphery without the risk of contamination or pressure on it from the patient's position. They performed this procedure in a 71-year-old man. He underwent a transiliac bypass before the infected limb of an aortobifemoral graft was removed. He was well 11 months after the operation and the graft was functioning well with no evidence of infection.
Brzezinski
W
W
Department of Surgery, University of Alberta, Edmonton.
Callaghan
J C
JC
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007085:Ilium; D008297:Male; D008722:Methods; D013290:Streptococcal Infections / Q000601:surgery*