Vasc Spec Int.  2016 Jun;32(2):57-61. 10.5758/vsi.2016.32.2.57.

Aortobifemoral Reconstruction with Right Extra-Anatomic Obturator Foramen Bypass due to a Septic Groin

• Hinojosa C
• Anaya-Ayala JE
• Laparra-Escareno H
• Lizola R
• Torres-Machorro A

• KMID: 2328033
• DOI: http://doi.org/10.5758/vsi.2016.32.2.57

Abstract

The aortic bifurcation and iliac vessels are common sites of atherosclerotic occlusive disease causing the clinical expression known as "Leriche's syndrome". An aortobifemoral bypass grafting in the setting of a septic groin remains a significant challenge to vascular surgeons. We present a 65-year-old male with complete occlusion of the distal aorta and iliac arteries; he had undergone a left axillo-femoral and femoral-femoral artery bypass 2 years prior to our evaluation. Owing to a complex graft infection in the right groin and worsening lower extremity ischemia, we performed an aortobifemoral reconstruction through the right obturator membrane. This report highlights the safety and efficacy of the obturator bypass for avoiding infected groins while preserving vascular continuity and durability with 78 months of secondary patency rate.

Keyword

Obturator bypass; Graft; Infection

MeSH Terms

Aged
Aorta
Arteries
Groin*
Humans
Iliac Artery
Ischemia
Lower Extremity
Male
Membranes
Surgeons
Transplants