scholarly journals Extra-Anatomical Bypass Grafting and Latissimus Dorsi Myocutaneous Flap Reconstruction for Post-sternotomy Mediastinitis With Prosthetic Aortic Graft Infection

Cureus ◽  
2021 ◽  
Author(s):  
Daiki Kitano ◽  
Jiro Matsuo ◽  
Shunsuke Sakakibara ◽  
Atsushi Oomura ◽  
Takeo Osaki ◽  
...  
Keyword(s):  
Latissimus Dorsi ◽  
Myocutaneous Flap ◽  
Graft Infection ◽  
Bypass Grafting ◽  
Flap Reconstruction ◽  
Aortic Graft ◽  
Latissimus Dorsi Myocutaneous Flap ◽  
Aortic Graft Infection

Aortic Graft Infection Secondary to Iatrogenic Transcolonic Graft Malposition

2018 ◽  
Vol 52 (5) ◽  
pp. 386-390
Author(s):  
Jacqueline J. Blank ◽  
Abby E. Rothstein ◽  
Cheong Jun Lee ◽  
Michael J. Malinowski ◽  
Brian D. Lewis ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Bypass Graft ◽  
Graft Infection ◽  
Preoperative Imaging ◽  
Sigmoid Colectomy ◽  
Acute Limb Ischemia ◽  
Bypass Grafting ◽  
Aortic Graft ◽  
Aortobifemoral Bypass ◽  
Aortic Graft Infection

Aortic graft infections are a rare but devastating complication of aortic revascularization. Often infections occur due to contamination at the time of surgery. Iatrogenic misplacement of the limbs of an aortobifemoral graft is exceedingly rare, and principles of evaluation and treatment are not well defined. We report 2 cases of aortobifemoral bypass graft malposition through the colon. Case Report: Case 1 is a 54-year-old male who underwent aortobifemoral bypass grafting for acute limb ischemia. He had previously undergone a partial sigmoid colectomy for diverticulitis. Approximately 6 months after vascular surgery, he presented with an occult graft infection. Preoperative imaging and intraoperative findings were consistent with graft placement through the sigmoid colon. Case 2 is a 60-year-old male who underwent aortobifemoral bypass grafting due to a nonhealing wound after toe amputation. His postoperative course was complicated by pneumonia, bacteremia thought to be secondary to the pneumonia, general malaise, and persistent fevers. Approximately 10 weeks after the vascular surgery, he presented with imaging and intraoperative findings of graft malposition through the cecum. Conclusions: Aortic graft infection is usually caused by surgical contamination and presents as an indolent infection. Case 1 presented as such; Case 2 presented more acutely. Both grafts were iatrogenically misplaced through the colon at the index operation. The patients underwent extra-anatomic bypass and graft explantation and subsequently recovered.

scholarly journals Long-term outcome after treatment of aortic graft infection with staged extra-anatomic bypass grafting and aortic graft removal

2000 ◽  
Vol 32 (3) ◽  
pp. 451-461 ◽  
Author(s):  
James M. Seeger ◽  
Henry A. Pretus ◽  
M.Burress Welborn ◽  
C.Keith Ozaki ◽  
Timothy C. Flynn ◽  
...  
Keyword(s):  
Graft Infection ◽  
Bypass Grafting ◽  
Aortic Graft ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Graft Removal ◽  
Aortic Graft Infection
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