Aortic Reconstruction With Duplicated Femoral Veins

Abstract

A 57 year old man was referred with a recent history of fever and weight loss. Computed tomographic imaging revealed a mycotic abdominal aortic aneurysm. A peripheral blood film revealed Burkholderia pseudomallei. Because of the aggressiveness of this bacterium, the patient was rapidly scheduled for aneurysm resection and reconstruction with autologous superficial femoral veins. Both veins turned out to be duplicated and were harvested as such (Panel A). After removal of the infected tissues, the proximal anastomosis to the aorta was constructed in a pantaloon configuration, and the natural duplication of both veins was preserved (Panel B).