Successful preservation of an infected common femoral vein to common femoral vein crossover prosthetic graft.
We used selective graft preservation to treat an infected anastomosis of a functioning common femoral vein to common femoral vein crossover PTFE bypass performed for iliac vein occlusion. The graft was successfully salvaged by operative debridement and placement of a rectus abdominis muscle flap. With the growing interest in venous reconstructive surgery, bypass infections may be seen more frequently. This case illustrates that selective preservation of infected prosthetic grafts anastomosed to a peripheral vein may be a simple and improved method to treat these complications.
Calligaro
K D
KD
Section of Vascular Surgery, Pennsylvania Hospital/University of Pennsylvania School of Medicine, Philadelphia.
Podolsky
R
R
Savarese
R P
RP
Doerr
K J
KJ
Dougherty
M J
MJ
DeLaurentis
D A
DA
D000009:Abdominal Muscles / Q000637:transplantation; D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D003646:Debridement; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D011138:Polytetrafluoroethylene; D016459:Prosthesis-Related Infections / Q000601:surgery*; D013203:Staphylococcal Infections / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014654:Vascular Patency
D011138:Polytetrafluoroethylene