LEGMO: Extremity Salvage Using Extracorporeal Membrane Oxygenation.

Mycotic aneurysm management balances the urgency of excising infected vasculature with the need to revascularize in or near an infected field. We present a case of a 47-year-old man with sepsis, a failed kidney transplant, and a ruptured, previously stented right external iliac pseudoaneurysm. After excision of the infected pseudoaneurysm and stents, lower extremity revascularization was delayed through the innovative use of isolated limb perfusion using extracorporeal membrane oxygenation followed by staged extra-anatomic femoral-femoral bypass. This technique provided limb perfusion while allowing the patient's sepsis to resolve to reduce the risk of recurrent infection after definitive revascularization.