Advertisement

A 73-year-old woman with delayed intra-abdominal and systemic sepsis following complicated aortobifemoral bypass

      A 73-year-old, independently living woman transferred urgently after presentation to an outside institution with passage of blood and surgical staples per rectum. A computed tomography scan of the abdomen confirmed an abdominal abscess cavity. She received broad-spectrum intravenous antibiotics, and percutaneous drainage of the abscess prior to transfer. Her history was significant for aortobifemoral bypass graft (ABFG) for lifestyle-limiting claudication 4 years previously, complicated by colon ischemia treated with left hemicolectomy, colostomy, and a Hartmann pouch. Three months later, hemorrhage from the pouch was controlled with coil embolization of the right internal iliac artery.
      To read this article in full you will need to make a payment
      SVS Member Login
      Society Members, full access to the journal is a member benefit. Use your society credentials to access all journal content and features
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Oderich G.S.
        • Bower T.C.
        • Cherry K.J.J.
        • Panneton J.M.
        • Sullivan T.M.
        • Noel A.A.
        • et al.
        Evolution from axillofemoral to in situ prosthetic reconstruction for the treatment of aortic graft infections at a single center.
        J Vasc Surg. 2006; 43: 1166-1174
        • Oderich G.S.
        • Bower T.C.
        • Hofer J.
        • Kalra M.
        • Duncan A.A.
        • Wilson J.W.
        • et al.
        In situ rifampin-soaked grafts with omental coverage and antibiotic suppression are durable with low reinfection rates in patients with aortic graft enteric erosion or fistula.
        J Vasc Surg. 2011; 53 (107.e1-7; discussion: 106-7): 99-106
        • Vogt P.R.
        Arterial allografts in treating aortic graft infections: something old, something new.
        Semin Vasc Surg. 2011; 24: 227-233
        • Vardanian A.J.
        • Chau A.
        • Quinones-Baldrich W.
        • Lawrence P.E.
        Arterial allograft allows in-line reconstruction of prosthetic graft infection with low recurrence and mortality.
        Am Surg. 2009; 75: 1000-1003
        • Harlander-Locke M.P.
        • Harmon L.K.
        • Lawrence P.F.
        • Oderich G.S.
        • McReady R.A.
        • Morasch M.D.
        • et al.
        The use of cryopreserved aortoiliac allograft for aortic reconstruction in the United States.
        J Vasc Surg. 2014; 59: 669-674