Surgical treatment of a patient presenting with an infected aortofemoral bifurcation prosthesis

Khamitov F.F., Gadzhimuradov R.U., Lebedev V.V., Abovyan A.A.

Municipal Clinical Hospital named after V.V. Veresaev under the Moscow Health Care Department, Moscow, Russia

Described herein is a clinical case report regarding successive treatment of a patient presenting with total infection of an aortofemoral bifurcation vascular prosthesis and a purulent fistula in the left iliac-inguinal region. The patient was subjected to removal of the infected aortofemoral bifurcation prosthesis, followed by autovenous aortofemoral bifurcation prosthetic repair. There were no pyo-haemorrhagic complications in the postoperative period. The wounds of the femurs and in the inguinal regions healed with second intention. Check-up computed tomography performed 3 months postoperatively demonstrated satisfactory patency of the autovenous graft and no retroperitoneal formations.

KEY WORDS: abdominal aortic aneurysm, aortofemoral bifurcation prosthetic repair, infection of a synthetic vascular prosthesis, autovenous repeat prosthetic repair.

P. 167

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