A Case of Obturator Foramen Bypass for Infected Femoral Artery after Use of an Arterial Closure Device

(Department of Cardiovascular Surgery, Kawasaki Social Insurance Hospital, Kawasaki, Japan and Kikuna Memorial Hospital*, Yokohama, Japan)

Shin Uchikawa Noboru Murata* Kazuhide Hayashi
A 52-year-old man with a 10-year history of severe diabetes was referred to our hospital with hemorrhage from a methicillin-resistant Staphylococcus aureus-infected femoral artery following the use of an arterial closure device (Prostar XL: Perclosure, Co., Ltd., Redwood, CA, USA). At surgery, the common femoral artery showed a circular area of disintegration, 9 mm in diameter, due to massive infection. One month after femoral angioplasty with a saphenous vein patch, re-hemorrhage occurred as a result of uncontrollable infection. Next, an obturator foramen (OF) bypass was performed and the infected femoral artery was removed. Two months after OF bypass, the wound healed and the patient was well. We conclude that OF bypass is a satisfactory method of treatment for compromised patients with an infected femoral artery.
@Jpn. J. Cardiovasc. Surg. 32: 370 -373 (2003)