Hybrid Repair Combined with Fresh Arterial Allograft Extra-Anatomical Reconstruction: The Treatment of Infrarenal Abdominal Aneurysm above an Aortobifemoral Bypass Complicated by an Infected Pseudoaneurysm in the Left Groin
Joint Authors
Lipar, Kvetoslav
Novotny, Robert
Chlupac, Jaroslav
Kristek, Jakub
Marada, Tomas
Kudla, Michal
Fronek, Jiri
Mendl, Jiri
Janousek, Libor
Novotny, Jiri
Source
Case Reports in Vascular Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
A 72-year-old male patient was admitted into our centre with large infected pseudoaneurysm (PSA) in the left groin.
The patient underwent a CT angiography (CTA) that confirmed a large partly thrombosed 6.5×5.5 cm PSA in the left groin arising from the distal anastomosis of the aortobifemoral bypass (ABF).
Furthermore, the CTA revealed 11 cm juxtarenal abdominal aortic aneurysm (JAAA) from which the proximal anastomosis of the ABF was arising.
Method.
Aorto-uni-iliac stent graft Cook was placed from the right groin trough native severely stenotic right iliac arteries with proximal landing zone below the renal arteries, excluding the JAAA and the ABF.
The distal landing zone was in the common iliac artery maintaining patent right internal iliac artery.
Afterwards, a femoro-femoral crossover bypass from right to left was performed using a fresh arterial allograft.
Postprocedurally, the hospital stay was uneventful.
The left groin PSA cultures came positive for Staphylococcus epidermidis and Corynebacterium tuberculostearicum, both sensitive to vancomycin and rifampicin.
Result.
The patient underwent intravenous ATB treatment with vancomycin for two weeks, followed by four weeks of oral rifampicin.
The patient was discharged on the 20th postoperative days.
Conclusion.
Hybrid repair combining aortic stent graft and extra-anatomical bypass in the treatment of infected distal parts of an aortofemoral bypass is an acceptable treatment modality.
American Psychological Association (APA)
Novotny, Robert& Marada, Tomas& Novotny, Jiri& Kristek, Jakub& Chlupac, Jaroslav& Kudla, Michal…[et al.]. 2020. Hybrid Repair Combined with Fresh Arterial Allograft Extra-Anatomical Reconstruction: The Treatment of Infrarenal Abdominal Aneurysm above an Aortobifemoral Bypass Complicated by an Infected Pseudoaneurysm in the Left Groin. Case Reports in Vascular Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151968
Modern Language Association (MLA)
Novotny, Robert…[et al.]. Hybrid Repair Combined with Fresh Arterial Allograft Extra-Anatomical Reconstruction: The Treatment of Infrarenal Abdominal Aneurysm above an Aortobifemoral Bypass Complicated by an Infected Pseudoaneurysm in the Left Groin. Case Reports in Vascular Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151968
American Medical Association (AMA)
Novotny, Robert& Marada, Tomas& Novotny, Jiri& Kristek, Jakub& Chlupac, Jaroslav& Kudla, Michal…[et al.]. Hybrid Repair Combined with Fresh Arterial Allograft Extra-Anatomical Reconstruction: The Treatment of Infrarenal Abdominal Aneurysm above an Aortobifemoral Bypass Complicated by an Infected Pseudoaneurysm in the Left Groin. Case Reports in Vascular Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151968
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151968