Abstract
A 54-year-old man was referred to our hospital because of a false aneurysm in his right groin following Aortobifemoral and femoropopliteal bypass surgery. He underwent false aneurysm repair and infrainguinal arterial reconstruction. He then developed MRSA sepsis in the right groin. The patient underwent a number of operations to remove the infected grafts and distal revascularization to allow limb salvage. His last operation was an iliofemoral bypass via extra-anatomical route, from just below the iliac crest into the popliteal artery using an 8 mm-ringed polyester gelatin polypropylene tube graft, with complete debridement of a groin infection. Postoperative duplex scan and 3-dimentional CT angiography revealed a patent prosthetic graft and the patient made uneventful postoperative recovery. We conclude that this extra-anatomical bypass is a safe technique and a good option for patients with an infected vascular prosthetic graft in the groin after previous revascularization.
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