title: Autologous deep vein reconstruction of infected thoracoabdominal aortic patch graft.
abstract: Graft infection remains a serious complication of prosthetic aortic repair. Infection of thoracoabdominal aortic prosthetic grafts, in particular, is a significant clinical challenge and is associated with high mortality. We report successful in situ reconstruction of an infected thoracoabdominal aortic prosthetic patch graft with autogenous superficial femoral vein. To our knowledge, this is the first such case described in the North American and English language surgical literature. At 24-month follow-up the patient remains well, with no evidence of sepsis or graft complication at clinical and radiologic assessment.
authors.affiliation: Department of Vascular Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, Scotland, UK. andrew.tambyraja@ed.ac.uk
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Tambyraja
authors.forename: Michael G
authors.initials: MG
authors.lastname: Wyatt
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Clarke
authors.forename: Roderick T A
authors.initials: RT
authors.lastname: Chalmers
mesh_terms: D000328:Adult; D001011:Aorta / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003251:Constriction, Pathologic; D005268:Femoral Vein / Q000637:transplantation*; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000601:surgery