title: Extra-anatomic autologous reconstruction with hepatic-iliac artery bypass graft for aortic endograft infection.
abstract: We present a new intra-abdominal extra-anatomic bypass graft for a 64-year-old man treated with an abdominal aortic endograft and with signs of endograft infection. We performed surgical removal of the endograft and intra-abdominal extra-anatomic reconstruction of a hepatic-to-right external iliac artery bypass with autologous superficial femoral vein and a crossover graft between the right and left external iliac artery with the great saphenous vein. The later occlusion of the saphenous vein graft led us to perform a femoral-femoral prosthetic crossover. At 42 months from the intervention, the patient was in good health, and duplex scanning confirmed the patency of all grafts.
authors.affiliation: Vascular Surgery, Department of Clinical Sciences and Community Health, Ospedale Maggiore Policlinico, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda, University of Milan, Milan, Italy. Electronic address: adebuora@yahoo.it.
authors.forename: Adelaide
authors.initials: A
authors.lastname: Buora
authors.affiliation: Vascular Surgery, Department of Clinical Sciences and Community Health, Ospedale Maggiore Policlinico, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda, University of Milan, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Floriani
authors.affiliation: Vascular Surgery, Department of Clinical Sciences and Community Health, Ospedale Maggiore Policlinico, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda, University of Milan, Milan, Italy.
authors.forename: Livio
authors.initials: L
authors.lastname: Gabrielli
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D005268:Femoral Vein / Q000503:physiopathology / Q000601:surgery*; D006499:Hepatic Artery / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation; D012501:Saphenous Vein / Q000503:physiopathology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency
chemical_list: D000900:Anti-Bacterial Agents