Hughes R, Moawad M, Harvey J S, Von Oppell U, Byrne J
Cardiff Vascular Unit, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK.
Eur J Vasc Endovasc Surg. 2005 Apr;29(4):429-32. doi: 10.1016/j.ejvs.2004.12.026.
A 63-year-old male underwent emergency repair of a ruptured juxtarenal aortic aneurysm via a transabdominal approach using an aorto-bi-iliac Dacron graft. This became infected. A right axillobifemoral bypass was placed and the infected graft was removed with oversewing of the aorta. The patient was re-admitted 8 months later with an infected axillobifemoral prosthesis. We harvested both femoral veins (FV) and spliced them to perform a left thoracobifemoral bypass with simultaneous explantation of the infected graft. The patient remains well with a patent graft 20 months post-operatively.
