Thoracic aorta transobturator bipopliteal bypass as eventual durable reconstruction after removal of an infected aortofemoral graft

Y. G. Wolf*, T. Sasson, D. G. Wolf, J. M. Gomori, H. Anner, Y. Berlatzky

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A 36-year-old man was referred with aortofemoral graft infection and perigraft duodenal erosion. The aortofemoral graft was removed, and bilateral axillo-superficial femoral grafts were constructed. Recurrent failures of these grafts prompted us to convert to a more-durable reconstruction. A straight graft was anastomosed to the lower thoracic aorta, routed retroperitoneally, and attached to an inverted U-shaped bilateral transobturator bypass graft, which was anastomosed to both above-knee popliteal arteries. After 3 years, the patient has remained well and the grafts are patent. This operation represents a durable in-line reconstruction avoids all previously infected areas after removal of an infected aortofemoral graft.

Original languageEnglish
Pages (from-to)693-696
Number of pages4
JournalJournal of Vascular Surgery
Volume26
Issue number4
DOIs
StatePublished - 1997
Externally publishedYes

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