2019 Volume 28 Issue 5 Pages 355-359
It is difficult to control infection and achieve revascularization for inguinal infection complicated with femoral artery infection. A 72-year-old man, who had undergone an operation of left femoro-popliteal bypass using a great saphenous vein graft, was transferred to our hospital emergently 17 days after a puncture to the left inguinal region for endovascular repair of right lower extremity at another hospital. Computed tomography revealed a pseudoaneurysm at the proximal anastomosis and we performed patch plasty for perforation with vein graft. Staphylococcus aureus (MSSA) was detected in a culture from the hematoma. Bleeding at the anastomosis due to infection occurred postoperatively, and we interposed a vein graft newly harvested in the proximal anastomosis and performed tensor fasciae latae myocutaneous flap coverage at the same time. But the infection did not improve, therefore, we finally performed debridement of the femoral artery, obturator bypass, and myocutaneous flap re-coverage. The postoperative course was good, and the patient was discharged. We performed debridement of the femoral artery and obturator bypass for inguinal infection complicated with femoral artery infection after lower extremity artery bypass, and succeeded in revascularization and controlling infection.
