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Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection

Endograft infection after abdominal endovascular aortic repair is a rare but catastrophic complication associated with high perioperative mortality and postoperative recurrent infection. The optimal surgical treatment is still controversial, particularly regarding in situ or extra-anatomical revascu...

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Autores principales: Kobayashi, Kimihiro, Uchida, Tetsuro, Kuroda, Yoshinori, Yamashita, Atushi, Ohba, Eiichi, Ochiai, Tomonori, Sadahiro, Mitsuaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801177/
https://www.ncbi.nlm.nih.gov/pubmed/32741883
http://dx.doi.org/10.5761/atcs.nm.20-00099
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author Kobayashi, Kimihiro
Uchida, Tetsuro
Kuroda, Yoshinori
Yamashita, Atushi
Ohba, Eiichi
Ochiai, Tomonori
Sadahiro, Mitsuaki
author_facet Kobayashi, Kimihiro
Uchida, Tetsuro
Kuroda, Yoshinori
Yamashita, Atushi
Ohba, Eiichi
Ochiai, Tomonori
Sadahiro, Mitsuaki
author_sort Kobayashi, Kimihiro
collection PubMed
description Endograft infection after abdominal endovascular aortic repair is a rare but catastrophic complication associated with high perioperative mortality and postoperative recurrent infection. The optimal surgical treatment is still controversial, particularly regarding in situ or extra-anatomical revascularization. Herein, we describe a successful surgically treated case of a patient with an endograft infection complicated with abscess formation in the retroperitoneal space around the right common iliac artery. We performed an aortobifemoral bypass grafting using the reversed L-shaped technique by rerouting the right leg of the new prosthesis to avoid the infected area. The patient is doing well 1 year after surgery without recurrent infection. This technique was considered to be advantageous because revascularization could be performed remotely from the infected area.
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spelling pubmed-78011772021-01-15 Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection Kobayashi, Kimihiro Uchida, Tetsuro Kuroda, Yoshinori Yamashita, Atushi Ohba, Eiichi Ochiai, Tomonori Sadahiro, Mitsuaki Ann Thorac Cardiovasc Surg New Method Endograft infection after abdominal endovascular aortic repair is a rare but catastrophic complication associated with high perioperative mortality and postoperative recurrent infection. The optimal surgical treatment is still controversial, particularly regarding in situ or extra-anatomical revascularization. Herein, we describe a successful surgically treated case of a patient with an endograft infection complicated with abscess formation in the retroperitoneal space around the right common iliac artery. We performed an aortobifemoral bypass grafting using the reversed L-shaped technique by rerouting the right leg of the new prosthesis to avoid the infected area. The patient is doing well 1 year after surgery without recurrent infection. This technique was considered to be advantageous because revascularization could be performed remotely from the infected area. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2020-08-01 2020 /pmc/articles/PMC7801177/ /pubmed/32741883 http://dx.doi.org/10.5761/atcs.nm.20-00099 Text en ©2020 Annals of Thoracic and Cardiovascular Surgery http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NonDerivatives International License (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle New Method
Kobayashi, Kimihiro
Uchida, Tetsuro
Kuroda, Yoshinori
Yamashita, Atushi
Ohba, Eiichi
Ochiai, Tomonori
Sadahiro, Mitsuaki
Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection
title Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection
title_full Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection
title_fullStr Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection
title_full_unstemmed Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection
title_short Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection
title_sort aortobifemoral bypass grafting with reversed l-shaped technique for endograft infection
topic New Method
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801177/
https://www.ncbi.nlm.nih.gov/pubmed/32741883
http://dx.doi.org/10.5761/atcs.nm.20-00099
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