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Ann R Coll Surg Engl ; 101(7): e154-e156, 2019 Sep.
Article in English | MEDLINE | ID: mdl-31155912

ABSTRACT

Infected pseudoaneurysms are a vascular emergency, necessitating urgent surgical management. Owing to the infected field, a synthetic graft may be inappropriate in patients for whom autografting is impossible. Ligation of the artery is the usual management, often leading to amputation. We report a case of cadaveric allografting of the common femoral artery in a patient with a traumatic, infected pseudoaneurysm, who was taking immunosuppressive therapy for a liver transplant. The patient was followed up with ultrasound at 12 months and was found to have a significant graft stenosis, which was treated successfully with angioplasty. At 18 months, the patient remained well. This case describes the successful implantation of a cadaveric allograft into a patient with an infected pseudoaneurysm, negating the for need primary ligation.


Subject(s)
Aneurysm, False/surgery , Femoral Vein/transplantation , Phlebotomy/adverse effects , Staphylococcal Infections/surgery , Vascular Grafting/methods , Adult , Allografts/transplantation , Aneurysm, False/diagnosis , Aneurysm, False/etiology , Aneurysm, False/microbiology , Cadaver , Computed Tomography Angiography , Femoral Artery/surgery , Femoral Vein/diagnostic imaging , Femoral Vein/injuries , Femoral Vein/microbiology , Groin , Humans , Lower Extremity/blood supply , Male , Staphylococcal Infections/diagnosis , Staphylococcal Infections/etiology , Staphylococcal Infections/microbiology , Staphylococcus aureus/isolation & purification , Treatment Outcome
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