Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Yamagata, Japan.
Ann Thorac Cardiovasc Surg. 2020 Dec 20;26(6):369-372. doi: 10.5761/atcs.nm.20-00099. Epub 2020 Dec 1.
Endograft infection after abdominal endovascular aortic repair is a rare but catastrophic complication associated with high perioperative mortality and postoperative recurrent infection. The optimal surgical treatment is still controversial, particularly regarding in situ or extra-anatomical revascularization. Herein, we describe a successful surgically treated case of a patient with an endograft infection complicated with abscess formation in the retroperitoneal space around the right common iliac artery. We performed an aortobifemoral bypass grafting using the reversed L-shaped technique by rerouting the right leg of the new prosthesis to avoid the infected area. The patient is doing well 1 year after surgery without recurrent infection. This technique was considered to be advantageous because revascularization could be performed remotely from the infected area.
腹主动脉血管腔内修复术后移植物感染是一种罕见但灾难性的并发症，与围手术期高死亡率和术后反复感染有关。最佳的手术治疗方法仍存在争议，特别是在原位或解剖外血运重建方面。在此，我们描述了一例成功手术治疗的患者，该患者腹主动脉血管腔内修复术后合并右髂总动脉周围腹膜后间隙脓肿形成。我们采用逆行 L 形技术进行了主动脉-股动脉旁路移植术，通过重新引导新假体的右腿来避开感染区域。患者术后 1 年恢复良好，无复发感染。该技术被认为是有利的，因为血运重建可以在远离感染区域的地方进行。
