Thoracofemoral bypass using spliced femoral vein with removal of an infected axillobifemoral bypass graft.
A 63-year-old male underwent emergency repair of a ruptured juxtarenal aortic aneurysm via a transabdominal approach using an aorto-bi-iliac Dacron graft. This became infected. A right axillobifemoral bypass was placed and the infected graft was removed with oversewing of the aorta. The patient was re-admitted 8 months later with an infected axillobifemoral prosthesis. We harvested both femoral veins (FV) and spliced them to perform a left thoracobifemoral bypass with simultaneous explantation of the infected graft. The patient remains well with a patent graft 20 months post-operatively.
Hughes
R
R
Cardiff Vascular Unit, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK.
Moawad
M
M
Harvey
J S
JS
Von Oppell
U
U
Byrne
J
J
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000601:surgery*
D011093:Polyethylene Terephthalates