Journal «Angiology and Vascular Surgery» • 

2021 • VOLUME 27 • №4

Case of extra-anatomical prosthetic repair in local infection of a bifurcated aortofemoral graft

Mukhamadeev I.S.1, Oborin A.A.2, Danilov V.N.1

1 Division of Cardiovascular Surgery, Perm Regional Clinical Hospital,
2 Department of Surgery with a Course of Cardiovascular Surgery, Perm State Medical University named after Academician E.A. Wagner under the RF Ministry of Public Health, Perm, Russia

Presented in the article is a clinical case report regarding successful treatment of a patient with infection of a vascular graft after bifurcation aortofemoral bypass grafting by means of partial removal of the graft’s branch with extra-anatomical graft-to-femur prosthetic repair through the iliac wing. The patient was admitted 6 months after bifurcation aortofemoral bypass grafting with a purulent and ligature fistula, discharge in the inguinal area. The findings of computed tomography showed no infection of the central anastomosis in the retroperitoneal space, with however periprosthetic infection in the area of the distal branch and severe comorbid background, thus not allowing complete removal of the prosthesis. A decision was made to perform operation in the scope of resection of the graft’s branch, with extra-anatomical bypass grafting through a hole created in the iliac wing and debridement of the wound in the groin.

In the postoperative period, no lower limb ischemia was observed, with blood circulation compensated completely. The patient was discharged in a satisfactory condition on POD 64 with no signs of either local or systemic infection.

KEY WORDS: graft infection, extra-anatomical prosthetic repair, critical lower limb ischaemia, explantation of vascular graft, atherosclerosis, infection.

Р. 130

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