title: In situ autogenous reconstruction of the thoracoabdominal aorta and branches for treatment of an infected thoracoabdominal aortobifemoral bypass graft.
abstract: Graft infection is an uncommon but potentially lethal complication of prosthetic aortic repair. We describe a novel technique for upper abdominal aortic and visceral revascularization after percutaneous drainage and antibiotics failed to cure a thoracofemoral prosthetic graft infection. One week after axillofemoral and femorofemoral bypass grafting, the infected thoracoabdominal graft was removed and a bifurcated iliac artery autograft was used to replace the upper abdominal aorta and revascularize the abdominal viscera. The infected graft was removed from the thorax and retroperitoneum, the infection resolved, and the patient remained well until his death of lung cancer 9 years later.
authors.affiliation: Division of Vascular Surgery, University of California, San Francisco, USA.
authors.forename: A
authors.initials: A
authors.lastname: Azakie
authors.forename: D B
authors.initials: DB
authors.lastname: McElhinney
authors.forename: L M
authors.initials: LM
authors.lastname: Messina
authors.forename: R J
authors.initials: RJ
authors.lastname: Stoney
mesh_terms: D018784:Abdominal Abscess / Q000601:surgery; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001012:Aorta, Abdominal / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001366:Axillary Artery / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004322:Drainage; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation*; D008297:Male; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D015996:Survival Rate; D014182:Transplantation, Autologous; D014654:Vascular Patency
chemical_list: D000900:Anti-Bacterial Agents