False aneurysm of the axillary artery caused by graft infection: report of a case.
A 77-year-old man presented to our hospital following the sudden onset of left subclavicular swelling, 8 years after undergoing subtotal removal of an axillofemoral bypass. Computed tomography revealed a rupture of the left axillary artery with the formation of a false aneurysm. Emergency surgery was performed in the form of an extraanatomic, axillo-axillary bypass with resection of the false aneurysm. Prior to removal of the false aneurysm, the subclavian artery was ligated via a left thoracotomy to minimize blood loss. The pathogen was identified as Proteus mirabilis, which is a rare causative organism for prosthetic graft infection. This case report demonstrates that total removal of the graft with revascularization should be performed for graft infections.
Yamamoto
K
K
Department of Cardiothoracic Surgery, Mito Saiseikai Hospital, Ibaraki, Japan.
Yoshimura
T
T
Ohtani
S
S
D000368:Aged; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000601:surgery / Q000637:transplantation; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000150:complications*; D011512:Proteus Infections / Q000150:complications; D011513:Proteus mirabilis; D014057:Tomography, X-Ray Computed