WITHDRAWN:Utilization of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields

Abstract

IntroductionIntra-abdominal arterial reconstructions in the setting of re-operative, contaminated or frankly infected fields can be a challenging undertaking for even the most experienced vascular surgeons. Open surgical arterial transpositions are less commonly performed than other methods of reconstruction in the current era of vascular surgery despite many historical reports of successful outcomes. Autologous artery transpositions represent a viable option in cases of infected or contaminated operative fields.Case descriptionsWe describe three patients treated at our institution who required intra-abdominal revascularization in contaminated or frankly infected surgical fields. All three patients were successfully treated using open native visceral artery transposition procedures.ConclusionsThese cases presented multiple challenges secondary to ongoing infections, infected operative fields, and sometimes histories of multiple vascular bypasses involving the aorta and visceral arteries. During such circumstances, we demonstrated the effectiveness of native visceral arterial transpositions as feasible techniques.