Autologous superficial femoral vein for the repair of suprarenal mycotic aneurysms: a preferred conduit?--a case report.
The authors report a patient who presented with a ruptured mycotic aneurysm that destroyed the posterior segment of the suprarenal perimesenteric aorta. Initial in-line repair with a rifampin-soaked Dacron prosthetic patch failed 14 days postoperatively with recurrent hemorrhage. At reoperation, the aorta was repaired with a superficial femoral/popliteal vein interposition graft; a segment of superficial femoral/popliteal vein was also used in-line to revascularize the superior mesenteric and celiac arteries. The patient survived with no evidence of recurrence at 8 months postoperatively.
Toursarkissian
B
B
Vascular Surgery Section, 219-E, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, USA. toursarkiss@uthscsa.edu
Smilanich
R P
RP
Sykes
M T
MT
D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000601:surgery*; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000097:blood; D013211:Staphylococcus aureus; D015819:Substance Abuse, Intravenous / Q000150:complications