Abstract
We report an operative case of axillobifemoral bypass graft occlusion after repair of an infected aortic aneurysm. Successful revascularization was achieved by descending aorta bifemoral bypass grafting. A 58-year-old man was admitted to our hospital. He had acute limb ischemia induced by extraanatomical bypass graft occlusion, which had been conducted in a previous operation for an infected aortic aneurysm caused by Sallmonella. Surgical revascularization was performed with 7th intercostal thoracotomy and a retroperitoneal approach. Instead of the infrarenal aortic stump where the omentum was previously transferred, the descending aorta was chosen as an inflow source. A y-shaped Dacron prosthesis was anastomosed to the descending aorta, left external iliac artery, and right femoral graft. The postoperative course was uneventful. The descending aorta can be an alternative inflow source if the axillofemoral bypass graft was occluded in a patient who previously underwent operation for an infected infrarenal abdominal aortic aneurysm.
