Abstract
We confirmed the usefulness of aorto-iliac in-situ reconstruction with an autogenous femoral vein in a case of an infected abdominal prosthetic graft. Eleven years previously, a 59-year-old man had undergone replacement of a prosthetic aorto-bifemoral graft due to arteriosclerotic occlusion of the right iliac artery. Two years previously, he underwent replacement of the prosthetic graft due to a right femoral artery aneurysm. He was admitted because of an operation wound infection which was diagnosed as Methicillin-sensitive Staphylococcus aureus. Computed tomography revealed an accumulation of fluid around the prosthetic graft. We performed a total graft excision on the infected prosthetic graft and debridment on the surrounding areas of the infected graft. An aorto-left common iliac in-situ reconstruction with an autogenous left femoral vein and a left iliac-right femoral crossover bypass with an autogenous right saphenous vein were then performed. Furthermore, an omentopexy was performed on the anastomotic site of the abdominal aorta. We treated the patient with antibiotics postoperatively and his postoperative course was uneventful. Conclusion: We found that in-situ reconstruction with a femoral vein is a useful method in the treatment of prosthetic graft infection.
