[The use of V.A.C. system for the treatment of infected vascular prosthesis--a case report].
Infected vascular prosthesis is a serious therapeutic issue and a dreaded complication in vascular surgery. We present a case of an 87-year-old man with an infected femoroprofundal crossover PTFE bypass. In this case of a high-risk patient not suitable for surgery, we used a conservative approach using a V.A.C. system. After 4 weeks of conservative therapy the inflammation markers went down and the groin, where the vascular prosthesis was exposed in the beginning, had fully healed up. Follow-up CT scan of both regions of the groin and hypogastria is without fluid collection or other signs of infection of the crossover bypass.
II. Chirurgická klinika LF MU a FN u sv. Anny v Brne. pavel.gladis@fnusa.cz
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D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006119:Groin; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed