Axillo-femoral Bypass for Extra-anatomical Bypass Graft Infection

Abstract

A 81 year-old-man was admitted for pseudoaneurysm of femoral artery, after emergent thrombectomy for acute limb ischemia. Repair of femoral artery by end-to-end anastomosis was carried out, but groin infection,lymphorrhea, and bleeding from anastomosed site was occurred postoperatively. Although illiofemoral bypass had been performed to avoid groin region, graft infection was found at proximal anastomosed site of the common iliac artery on postoperative day (POD) 74. Therefore, axillo-femoral bypass using prior vascular graft and omental implantation were accomplished under median laparotomy. His postoperative course was uneventful, and he was discharged in good condition.