Graft Infection in Femorofemoral Crossover Bypass, First Presenting as Septic Distal Emboli

(Department of Cardiovascular Surgery, Nagaoka Red Cross Hospital, Nagaoka, Japan)

Kenji Aoki Hiroyuki Hirahara Masaaki Sugawara
Fumiaki Oguma
We report a case of graft infection long after femorofemoral crossover bypas grafting (FFBG), first presenting as septic distal emboli without any infective signs in the groin. A 71-year-old man who had undergone FFBG visited our hospital because of sudden pain in his right foot. No infective signs were found in the graft route from physical examination. However, computed tomography demonstrated perigraft fluid and graft thrombi. Graft excision and extra-anatomic revascularization were successfully done. Light micrography showed Staphylococcus aureus extensively infiltrating in the expanded polytetrafluoroethylene graft wall.
@Jpn. J. Cardiovasc. Surg. 35: 118-121 (2006)