[Recurrence of vascular prosthesis infection: treatment by bypass of the lower part of the thoracic aorta using abdominal approach].
Two years before admission a 72-year-old woman received an aortobifemoral bypass graft. When the graft became infected it was replaced by an axillofemoral bypass graft. This also became infected. In another attempt at revascularization, a bypass was installed between the lower part of the thoracic aorta and the two distal parts of the superficial femoral arteries, passing through the obturator foramen. Access to the lower part of the thoracic aorta was made through an abdominal incision, lowering the risk factors associated with such an intervention. At 18-month follow-up, the results were satisfactory; the graft was patent and not infected.
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D001366:Axillary Artery / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007239:Infections / Q000209:etiology*; D007866:Leg / Q000098:blood supply; D012008:Recurrence
Récidive d'infection de prothèse vasculaire: traitement par pontage à partir de l'aorte thoracique basse abordée par voie abdominale.