Abstract
A 52-year-old man was refered to another institute for traumatic injury of left common iliac artery. Seven years after the initial left common iliac – left common femoral artery bypass, graft infection was complicated. Three times antianatomical revasculalization using refampicin soaked Dacron graft were performed, nevertheless infection has not been controlled. Chronic hemodialysis was induced for end stage renal dysfunction due to long time use of antibiotics, he was refered to our hospital from hemodialysis facility. Three skin fistulas were found along the infected graft and pus discharge were continued. Contrast enhanced CT revealed fluid collection around the graft and poor collateral source to the left lower extremity. Right common femoral artery – left above-knee popliteal artery bypass was performed via sub gracilis muscle route using ePTFE graft followed by resection of infected graft. Intravenous antibiotics administration continued six weeks after surgery. The patient is doing well without any signs of infection on oral antibiotics at 3 years after the last surgery.
