title: Salvage of infected vascular graft via 'perivascular venous banding' technique coupled with rectus abdominis myocutaneous muscle flap transposition.
abstract: This is the case of a severe Pseudomonas aeruginosa biological vascular graft infection, completely involving the perianastomotic tract of a femoro - femoral crossover bypass and resulting in repeated bleeding from the offended vessel wall. After the failure of a sartorious rotational muscle flap transposition into the infected groin wound, this 'high-grade' vascular graft infection was finally treated successfully by wrapping a great saphenous vein patch reinforcement circumferentially around the damaged biological vascular conduit and filling the infected wound with a rectus abdominis myocutaneous muscle flap transposition. The aim of this report is to illustrate this novel, to our knowledge, 'perivascular venous banding' technique and to evaluate the prospective of future testing of this surgical procedure. Starting from this singular case, we will also review the role of the rotational muscle flaps in the conservative management of major vascular graft infections.
authors.affiliation: Department of Vascular Surgery, Sandro Pertini, Rome, Italy. f.desantis6@virgilio.it
authors.forename: F
authors.initials: F
authors.lastname: De Santis
authors.forename: C M
authors.initials: CM
authors.lastname: Chaves Brait
authors.forename: G
authors.initials: G
authors.lastname: Caravelli
authors.forename: S
authors.initials: S
authors.lastname: Pompei
authors.forename: V
authors.initials: V
authors.lastname: Di Cintio
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006801:Humans; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D017568:Rectus Abdominis / Q000601:surgery*; D012086:Reoperation; D012501:Saphenous Vein / Q000601:surgery*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents