A case report of a unique aorto-bifemoral graft infection and its treatment

Journal of Surgical Case Reports
Hatim Yahya Uslu, Halil Kurt

Abstract

In this study, we report a unique case of aorto-bifemoral graft infection, which developed in a 47-year-old male patient after endovascular aortic aneurysmal repair (EVAR) and extra anatomic axillo-femoral bypass. The patient had previously been treated by EVAR for an infrarenal abdominal aortic aneurysm. Earlier, the EVAR was blocked by a thrombosis and treated with an extra-anatomic axillo femoral bypass, which then became occluded. The patient was then treated with an aorto-bifemoral bypass using a Dacron Y graft. A few months later, he was referred to our cardiovascular center with high body temperature, weight loss, inability to stand and walk, and very serious sepsis. A computed abdominal tomography scan revealed that a part of the graft proximal to the bifurcation had totally eroded into the proximal jejunum. We treated this patient with multiple surgeries, antibiotic administrations and hypochlorous acid irrigation without graft excision, which carries a high morbidity and mortality risks.

References

Jul 1, 1981·Archives of Surgery·C A Stevick, H D Fawcett
Sep 16, 1999·American Journal of Surgery·R M YoungJ W Hallett
Jul 11, 2006·Journal of Vascular Surgery·Stephen O'ConnorJean Pierre Becquemin
Feb 5, 2008·Journal of Vascular Surgery·Todd R VogelDavid R Flum
Jan 16, 2010·American Journal of Surgery·Ben R SaleemClark J Zeebregts

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