Infection of aortobifemoral bypass graft implanted 20 years ago proved by labeled leukocytes SPECT-CT

Aortobifemoral bypass (ABFB) thrombosis is not uncommon, and when the artery of a renal graft is implanted on a bypass the risk of graft loss is high. We report the case of a 48-year-old woman with a previous history of ABFB under antiplatelet therapy and a kidney allograft implanted on the vascular prosthesis, who presented with acute limb ischemia and severe renal impairment. Imaging techniques revealed a complete thrombosis of the proximal left arm of the ABFB. However, a faint retrograde flow over the graft was observed thanks to the recanalization of distal left bypass by collateral native arteries. This unusual situation not previously reported in a kidney transplant setting, together with an early diagnosis, allowed graft survival until an early local thrombolysis resolved the problem. Two years later, renal function remains normal.

Download Full-text

Mycobacterium bovis infection of an aortobifemoral bypass graft with Streptococcus intermedius superinfection after intravesical bacillus Calmette-Guérin immunotherapy for bladder cancer

Infection ◽

10.1007/s15010-020-01495-4 ◽

2020 ◽

Author(s):

Marie Dubert ◽

Sharon Abihssira ◽

Sylvain Diamantis ◽

Remi Guenin ◽

Rabah Messaoudi ◽

...

Keyword(s):

Bladder Cancer ◽

Mycobacterium Bovis ◽

Bypass Graft ◽

Bacillus Calmette Guerin ◽

Aortobifemoral Bypass ◽

Streptococcus Intermedius

Download Full-text

Vascular surgery

10.1093/med/9780199608911.003.0008 ◽

2017 ◽

Author(s):

Anil Agarwal ◽

Neil Borley ◽

Greg McLatchie

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Vascular Surgery ◽

Lower Limb ◽

Varicose Veins ◽

Bypass Graft ◽

Ruptured Abdominal Aortic Aneurysm ◽

Foam Sclerotherapy ◽

Aortobifemoral Bypass ◽

Abdominal Aortic

This chapter covers vascular operations. Treatments described for varicose veins are high tie and multiple avulsions, radio-frequency ablation, and foam sclerotherapy. Repair of elective and ruptured abdominal aortic aneurysm and endovascular repair are described. Operations like aortobifemoral bypass, femoral popliteal above- and below-knee bypass graft, and femoro-distal bypass are included. Urgent operations like femoral and brachial embolectomy, lower limb fasciotomy are also described. In addition, above- and below-knee amputations and vascular access are included.

Download Full-text

Acute occlusion of aortobifemoral bypass graft after revision total hip arthroplasty

International Journal of Case Reports and Images ◽

10.5348/ijcri-2015125-cr-10586 ◽

2015 ◽

Vol 6 (12) ◽

pp. 771

Author(s):

Jacob Worsham ◽

Kathryn Bentley ◽

Jared Cordon ◽

Edmund Brinkis

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Bypass Graft ◽

Revision Total Hip Arthroplasty ◽

Aortobifemoral Bypass ◽

Acute Occlusion ◽

Total Hip

Download Full-text

Aortic Graft Infection Secondary to Iatrogenic Transcolonic Graft Malposition

Vascular and Endovascular Surgery ◽

10.1177/1538574418764037 ◽

2018 ◽

Vol 52 (5) ◽

pp. 386-390

Author(s):

Jacqueline J. Blank ◽

Abby E. Rothstein ◽

Cheong Jun Lee ◽

Michael J. Malinowski ◽

Brian D. Lewis ◽

...

Keyword(s):

Vascular Surgery ◽

Bypass Graft ◽

Graft Infection ◽

Preoperative Imaging ◽

Sigmoid Colectomy ◽

Acute Limb Ischemia ◽

Bypass Grafting ◽

Aortic Graft ◽

Aortobifemoral Bypass ◽

Aortic Graft Infection

Aortic graft infections are a rare but devastating complication of aortic revascularization. Often infections occur due to contamination at the time of surgery. Iatrogenic misplacement of the limbs of an aortobifemoral graft is exceedingly rare, and principles of evaluation and treatment are not well defined. We report 2 cases of aortobifemoral bypass graft malposition through the colon. Case Report: Case 1 is a 54-year-old male who underwent aortobifemoral bypass grafting for acute limb ischemia. He had previously undergone a partial sigmoid colectomy for diverticulitis. Approximately 6 months after vascular surgery, he presented with an occult graft infection. Preoperative imaging and intraoperative findings were consistent with graft placement through the sigmoid colon. Case 2 is a 60-year-old male who underwent aortobifemoral bypass grafting due to a nonhealing wound after toe amputation. His postoperative course was complicated by pneumonia, bacteremia thought to be secondary to the pneumonia, general malaise, and persistent fevers. Approximately 10 weeks after the vascular surgery, he presented with imaging and intraoperative findings of graft malposition through the cecum. Conclusions: Aortic graft infection is usually caused by surgical contamination and presents as an indolent infection. Case 1 presented as such; Case 2 presented more acutely. Both grafts were iatrogenically misplaced through the colon at the index operation. The patients underwent extra-anatomic bypass and graft explantation and subsequently recovered.

Download Full-text