Hybrid Repair Combined with Fresh Arterial Allograft Extra-Anatomical Reconstruction: The Treatment of Infrarenal Abdominal Aneurysm above an Aortobifemoral Bypass Complicated by an Infected Pseudoaneurysm in the Left Groin

Case Reports in Vascular Medicine
Robert NovotnyLibor Janousek

Abstract

A 72-year-old male patient was admitted into our centre with large infected pseudoaneurysm (PSA) in the left groin. The patient underwent a CT angiography (CTA) that confirmed a large partly thrombosed 6.5 × 5.5 cm PSA in the left groin arising from the distal anastomosis of the aortobifemoral bypass (ABF). Furthermore, the CTA revealed 11 cm juxtarenal abdominal aortic aneurysm (JAAA) from which the proximal anastomosis of the ABF was arising. Aorto-uni-iliac stent graft Cook was placed from the right groin trough native severely stenotic right iliac arteries with proximal landing zone below the renal arteries, excluding the JAAA and the ABF. The distal landing zone was in the common iliac artery maintaining patent right internal iliac artery. Afterwards, a femoro-femoral crossover bypass from right to left was performed using a fresh arterial allograft. Postprocedurally, the hospital stay was uneventful. The left groin PSA cultures came positive for Staphylococcus epidermidis and Corynebacterium tuberculostearicum, both sensitive to vancomycin and rifampicin. The patient underwent intravenous ATB treatment with vancomycin for two weeks, followed by four weeks of oral rifampicin. The patient was discharged on the 20th postoper...Continue Reading

References

Sep 5, 2001·Journal of Vascular Surgery·D F BandykD C Schmacht
Feb 5, 2008·Journal of Vascular Surgery·Todd R VogelDavid R Flum
May 25, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O T A LyonsP R Taylor
Nov 19, 2013·Journal of Vascular Surgery·Michael P Harlander-LockeJohn V White
Mar 5, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P BergerM L Bots
Jan 23, 2016·Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital·Carlo SetacciStefano Michelagnoli
Feb 14, 2017·Journal of Vascular Surgery·Christian D SimmonsG Patrick Clagett
Aug 2, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Christos ArgyriouGeorge A Antoniou
Apr 18, 2019·Vascular Specialist International·Jae Hoon Lee, Ki Hyuk Park
Apr 23, 2019·Annals of Vascular Surgery·Timothy ShiraevStephen Bradshaw
Nov 21, 2019·Vascular and Endovascular Surgery·João Rocha-NevesAna Azevedo

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