Abstract
We used selective graft preservation to treat an infected anastomosis of a functioning common femoral vein to common femoral vein crossover PTFE bypass performed for iliac vein occlusion. The graft was successfully salvaged by operative debridement and placement of a rectus abdominis muscle flap. With the growing interest in venous reconstructive surgery, bypass infections may be seen more frequently. This case illustrates that selective preservation of infected prosthetic grafts anastomosed to a peripheral vein may be a simple and improved method to treat these complications.
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Calligaro KD, Veith FJ, Gupta SK, et al. A modified method for management of prosthetic graft infections involving an anastomosis to the common femoral artery. J Vasc Surg 1990;11: 485–492.
Lalka SG, Lash JM, Unthank JL, et al. Inadequacy of saphenous vein grafts for cross-femoral venous bypass. J Vasc Surg 1991;13:622–630.
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Supported by a grant from the John F. Connelly Foundation.
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Calligaro, K.D., Podolsky, R., Savarese, R.P. et al. Successful preservation of an infected common femoral vein to common femoral vein crossover prosthetic graft. Annals of Vascular Surgery 8, 380–382 (1994). https://doi.org/10.1007/BF02133001
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DOI: https://doi.org/10.1007/BF02133001