Hinton P J, Bryant L R
Am Surg. 1981 Nov;47(11):511-4.
A case is presented which illustrates the unusual ability to retain a bifurcation aortofemoral vascular graft with the graft-to-femoral-artery anastomosis involved in a groin abscess. The drainage of the abscess, debridement of devitalized tissue, and the combined application of topical and systemic antibiotic therapy was successful. Some authors report that should an anastomosis of a bifurcation vascular graft, in the vicinity of the groin, become involved in infection, the threat of anastomotic disruption and continued sepsis may lead to amputation, death, or both. It is not the purpose of this report to advocate conservative management of a vascular graft infection with suture line involvement based on anecdotal experience. However, the case reported here and the experience of other authors mentioned suggest that an attempt to treat an infected graft without its removal may be indicated in selected patients where extra anatomical revascularization would be hazardous.
本文介绍了一例病例，该病例显示了在腹股沟脓肿累及移植血管与股动脉吻合口的情况下，保留分叉型主-股血管移植的特殊能力。脓肿引流、坏死组织清创以及局部和全身抗生素联合治疗取得了成功。一些作者报告称，如果腹股沟附近的分叉型血管移植吻合口发生感染，吻合口破裂和持续败血症的威胁可能导致截肢、死亡或两者皆有。本报告并非基于轶事经验主张对涉及缝线的血管移植感染进行保守治疗。然而，此处报告的病例以及其他提及作者的经验表明，在某些患者中，若进行解剖外血管重建存在危险，则可能需要尝试在不移除感染移植血管的情况下进行治疗。
