Recurrence of vascular prosthesis infection: treatment by bypass of the lower part of the thoracic aorta using abdominal approach
Formichi, M.; Girard, J.F.; Rouleau, C.A.
Canadian Journal of Surgery. Journal Canadien de Chirurgie 29(5): 381-383
1986
ISSN/ISBN: 0008-428X PMID: 3756666 Document Number: 267883
Two years before admission a 72-year-old woman received an aortobifemoral bypass graft. When the graft became infected it was replaced by an axillofemoral bypass graft. This also became infected. In another attempt at revascularization, a bypass was installed between the lower part of the thoracic aorta and the two distal parts of the superficial femoral arteries, passing through the obturator foramen. Access to the lower part of the thoracic aorta was made through an abdominal incision, lowering the risk factors associated with such an intervention. At 18-month follow-up, the results were satisfactory; the graft was patent and not infected.