[Autogenous bilateral aortofemoral reconstruction using the popliteal and superficial femoral veins].
The author presents a case-history of a late infection of a bilateral aortofemoral bypass by a coagulase-negative staphylococcus and the definite solution by substitution of the contaminated vascular prosthesis by an anatomical autogenous bilateral bypass made from popliteal and superficial femoral veins. From the technical aspect the operation was very satisfactory without marked peroperative difficulties, the early postoperative course was also favourable, with readily palpable peripheral pulsations, without marked manifestations of venostasis on the lower extremities. From the third postoperative day onwards however progressive manifestations of multiorgan failure developed associated with septic shock and leading to a fatal outcome. Despite this the author considers in patients with a reasonable surgical risk this method of substitution of an infected vascular prosthesis in the aortofemoral region feasible with regard to its resistance to infection and long-term patency, though the operation is technically pretentious but easy to implement.
Chirurgické oddĕlení UVN, Praha 6-Stresovice.
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Rezek
D001012:Aorta, Abdominal / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D005263:Femoral Artery / Q000601:surgery*; D005268:Femoral Vein / Q000637:transplantation*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011152:Popliteal Vein / Q000637:transplantation*; D016459:Prosthesis-Related Infections / Q000601:surgery*; D014182:Transplantation, Autologous