title: Obturator foramen bypass for infective groin caused by closure device.
abstract: A 69-year-old man underwent carotid artery stenting through the right femoral artery with a percutaneous vascular closure device for hemostasis. Eleven days later, an infective femoral artery pseudoaneurysm was diagnosed by computed tomography. At surgery, a defect in the femoral artery was observed, corresponding to the remnants of the closure device. Removal of the foreign material, debridement, wound irrigation, and arterial patch plasty were performed, but the infection and leg ischemia did not improve. After several failed attempts to revascularize and control the infection, obturator foramen bypass was performed. The postoperative course was uneventful, indicating the usefulness of this procedure.
authors.affiliation: 1 Department of Cardiovascular Surgery, Iwaki Kyouritsu General Hospital, Iwaki, Japan.
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Irie
authors.affiliation: 1 Department of Cardiovascular Surgery, Iwaki Kyouritsu General Hospital, Iwaki, Japan.
authors.forename: Shunichi
authors.initials: S
authors.lastname: Kondo
authors.affiliation: 1 Department of Cardiovascular Surgery, Iwaki Kyouritsu General Hospital, Iwaki, Japan.
authors.forename: Kyu
authors.initials: K
authors.lastname: Rokkaku
authors.affiliation: 1 Department of Cardiovascular Surgery, Iwaki Kyouritsu General Hospital, Iwaki, Japan.
authors.forename: Eitoshi
authors.initials: E
authors.lastname: Tsuboi
authors.affiliation: 2 Department of Thoracic and Cardiovascular Surgery, Dokkyo Medical University, Koshigaya Hospital, Koshigaya, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takano
authors.affiliation: 3 Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yokoyama
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002340:Carotid Artery Diseases / Q000628:therapy*; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods*; D000072226:Computed Tomography Angiography; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011677:Punctures; D015607:Stents; D016896:Treatment Outcome; D065506:Vascular Closure Devices / Q000009:adverse effects*
keywords: Aneurysm; Blood vessel prosthesis implantation; Hemostasis; Vascular surgical procedures; Wound closure techniques; false; surgical