Abstract
Background: An extra-anatomical bypass (axillo-femoral bypass) is generally performed for an infectious aneurysm and prosthetic graft infection in the aortoiliac region. However, this procedure has the risk of rupture at the aortic stump and has a low graft patency rate in the long term. Therefore, in recent years anatomical reconstruction has been performed using an autogenous vein graft or prosthetic graft (ePTFE or rifampicin-bonded prosthetic graft etc.). Case report: We performed anatomical reconstruction using an autogenous vein graft (on the superficial femoral vein) in two cases, and obtained good results in both. The first case an infectious aneurysm, and the second was a prosthetic graft infection. Results: The postoperative courses were difficult because the operations were prolonged owing mainly to severe adhesion, and reoperation for perforation of the duodenum. However, the final outcomes in both cases were successful. Conclusion: This surgical procedure may become a standard method for graft infection or infectious aneurysm. We report 2 cases and discuss the literature.
