2018 Volume 27 Issue 3 Pages 241-244
Objective: This study aimed to analyze disruption of the autologous vein grafts caused by surgical site infection (SSI) after distal bypass. Methods: We retrospectively analyzed infectious disruption of five grafts out of 361 distal bypass grafts from April 2009 to December 2017 in our hospital. Results: Disruption of four grafts occurred within 1 month. The sites of disruption were the graft body in 3 cases and the distal anastomosis in 2 cases. The most common cultured pathogen was methicillin resistant staphylococcus aureus. All grafts were ligated at the disrupted site. Three patients underwent major amputation and one died of sepsis. One patient avoided major amputation by rebypass. Conclusion: Graft disruption caused by SSI became fatal complication. When SSI occur after distal bypass, we should pay attention to the graft disruption especially within 1 month.
