Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection.

Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection. Ann Thorac Cardiovasc Surg. 2020 Aug 01;: Authors: Kobayashi K, Uchida T, Kuroda Y, Yamashita A, Ohba E, Ochiai T, Sadahiro M Abstract 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. PMID: 32741883 [PubMed - as supplied by publisher]
Source: Annals of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Cardiovasc Surg Source Type: research