Femoro-Femoral Bypass Anterior to the Pubis and Inside of the Thigh Muscle for Treatment of Suspected Infected Aneurysm in the Ilio-Femoral Area

(Department of Cardiovascular Surgery, Graduate School of Biomedical Science, Hiroshima University, Hiroshima, Japan)

Daisuke Futagami Kenji Okada Masaki Hamamoto
Katsutoshi Sato Katsuhiko Imai Kazumasa Orihashi
Taijiro Sueda
Infected femoral artery aneurysm is difficult to treat because of the risk of reinfection and anastomosis. The treatment of choice has been a topic of much controversy. Revascularization is mandatory for limb salvage after excision of infected grafts. Revascularization requires various ingenious techniques such as retro-sartorius bypass and obturator bypass. We treated a patient with suspected infection of an aorta-femoral graft, using femoro-femoral crossover bypass in front of the pubis and inside of the thigh muscle. We performed complete debridement of infected tissue. After resterilization of the operative field once more and exchange of all the instruments we performed revascularization detouring around areas of focal infection, using autogenious vein graft through the front of the pubis and inside of the thigh muscle to reach the left superficial femoral artery.
@Jpn. J. Cardiovasc. Surg. 34: 300-302 (2005)