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G. Clagett, R. Valentine, R. Hagino (1997)
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Autologous Superficial Femoral Vein for Aortic Reconstruction in Infected Fields Philip M. Brown, Jr., MD, Victor B. Kim, MD, Janice F. Lalikos, MD, David H. Deaton, MD, William M. Bogey, MD, and C. Steven Powell, MD, Greenville, North Carolina Autogenous reconstruction is one option available for patients with aortic graft infection or mycotic aneurysms. We reviewed our recent institutional experience with all patients undergoing aortic reconstruction using autologous superficial femoral vein (SFV). Between February 1995 and November 1997, eight patients (five with prosthetic aortic graft infection and three with mycotic aneurysms, including one ruptured mycotic aneurysm) underwent single-stage aortic reconstruction using autologous SFV. Therapy for graft infection included graft excision and replacement with aortobifemoral or aortofemoral (with subsequent cross femoral) grafts fash- ioned from the SFV. The two patients undergoing elective repair of mycotic aneurysms were treated with extensive SFV patches, and the patient with a ruptured mycotic aneurysm under- went SFV tube grafting. Autogenous reconstruction of the aorta using the SFV in infected fields shows promise for salvage of life and limb during early experiences and short-term follow-up. Morbidity and mortality rates compare favorably with those from existing series, reconstruction is anatomic, and reinfection potential is low. Long-term
Annals of Vascular Surgery – Springer Journals
Published: Apr 28, 2014
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