Salvage of an Exposed Axillo-profunda Bypass Graft and Discussion of Reconstructive Options on the Torso

Abstract

IntroductionA case of salvage of an exposed axillo-profunda bypass graft is presented.ReportRobust coverage of the graft was achieved with a pedicled latissimus dorsi muscle flap and overlying bi-pedicled cutaneous flap.DiscussionReconstructive options to salvage an exposed prosthetic graft will depend on the position on the trunk but can be successful if a reconstructive plastic surgery algorithm is followed. The options are discussed within this report. Exposed axillo-profunda graft can be salvaged successfully through a variety of reconstructive techniques. Close cooperation between vascular and plastic surgeons is vital for a successful outcome.