An axillofemoral bypass graft transgressing the chest wall

Abstract

Key Clinical MessageExplantation of an infected patent vascular graft does not necessarily require concomitant revascularization procedures. The need for revascularization can be determined by a trial cross‐clamping of the graft and clinical assessment of limb perfusion. We report a case of an infected axillofemoral graft transgressing the chest wall in a surgically high risk patient.

Salvage of an Exposed Axillo-profunda Bypass Graft and Discussion of Reconstructive Options on the Torso

“…Exposure of an axillo-femoral graft within the truncal region is extremely rare, with only two case reports identified in the literature. 9 , 10 Reconstructive options to salvage an exposed prosthetic graft will depend on the position on the trunk, but can be successful if a reconstructive plastic surgery algorithm is followed. As has been demonstrated previously, the use of artificial dermal matrices and/or negative pressure dressings may allow sufficient secondary wound healing to support skin grafting, which may be useful in a patient where comorbidities prevent more extensive surgery.…”