title: Use of a local fasciocutaneous flap for treatment of exposed vascular grafts to the dorsalis pedis artery.
abstract: Exposed or infected peripheral vascular grafts pose a significant challenge to the vascular surgeon. Although graft removal and extraanatomic bypass is feasible in selected circumstances, this procedure is generally not applicable for bypass to the pedal vessels. Preservation of patent grafts is almost always required for limb salvage. We present a case report of an exposed vein graft to the dorsalis pedis artery. We conclude that a local fasciocutaneous flap is an excellent treatment option, and describe the procedure in detail.
authors.affiliation: Department of Surgery, Divisions of Vascular and Plastic Surgery, North Shore University Hospital, Manhasset, New York 11030, USA.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: McPhee
authors.forename: Larry A
authors.initials: LA
authors.lastname: Scher
authors.forename: Ron
authors.initials: R
authors.lastname: Israeli
authors.forename: Michael
authors.initials: M
authors.lastname: Ombrellino
authors.forename: Steven G
authors.initials: SG
authors.lastname: Friedman
authors.forename: Toufic K
authors.initials: TK
authors.lastname: Safa
mesh_terms: D000368:Aged; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005528:Foot / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D023821:Limb Salvage / Q000009:adverse effects*; D008297:Male; D016459:Prosthesis-Related Infections / Q000601:surgery*; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000601:surgery*