Below-Knee Obturator Bypass to the Popliteal Artery with the Autologous Vein

DOI
  • Matsushima Shunsuke
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
  • Fukuzumi Masaomi
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
  • Honda Tasuku
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
  • Nakagiri Kentaro
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
  • Yoshida Masato
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
  • Mukohara Nobuhiko
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji

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Other Title
  • 自家静脈グラフトを用いて膝下膝窩動脈へ閉鎖孔バイパスを施行した1例

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Description

We report a case of obturator bypass from the external iliac artery to the below-knee popliteal artery with an autologous vein graft for a patient with MRSA prosthetic graft infection. A 67-year-old man presented with an infected right femoro-above-knee popliteal prosthetic bypass graft. Graft excision and extra-anatomic revascularization were scheduled, because the entire prosthetic graft was involved. Complete graft excision and obturator bypass to the below-knee popliteal artery using a great saphenous vein were performed simultaneously. The postoperative course was uneventful and he was discharged without recurrent infection or intermittent claudication. An obturator bypass to the below-knee popliteal artery using the autologous vein may be one treatment option in cases involving infection involving the whole graft, in cases of femoral artery to above-knee popliteal artery bypass.

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