Exteriorized thrombosed axillo-bifemoral graft with empyema post coronary artery bypass grafting with axillo-femoral bypass

Abstract

Following its introduction in 1963, axillofemoral bypass grafts have improved, with patency rates comparable to aortofemoral and aortobifemoral grafts. Graft infection and thrombosis may worsen axillofemoral bypasses, rendering subsequent management challenging in surgically high-risk patients.We present an unusual case of anexteriorized thrombosed axillofemoral graft infection in a 65 years’ male who recently underwent coronary artery bypass grafting with axillobifemoral grafting, presented in sepsis with empyema of chest and infected graft was exteriorised. He developed foul smelling discharge and fever. The patient was treated with antibiotics and infected graft was removed. The image highlights the social stigma and debilitating complications caused by these grafts in developing countries. Keywords: Exteriorized Axillobifemoral graft, Coronary artery bypass surgery.