Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft
Document Type
Journal Article
Publication Date
6-1-2019
Journal
Journal of Vascular Surgery Cases and Innovative Techniques
Volume
5
Issue
2
DOI
10.1016/j.jvscit.2018.12.012
Keywords
Abdominal aortic endograft infection; Aortic ligation; Axillobifemoral bypass; Hepatorenal bypass; Splenorenal bypass
Abstract
We report the case of an 82-year-old patient with an infected abdominal aortic endograft who presented with a right psoas abscess and lumbar osteomyelitis. The psoas abscess was drained percutaneously. Fluid obtained grew Fusobacterium nucleatum. The patient, an active and highly functional individual, wished to pursue definitive management. The infected endograft was surgically removed, and the aorta was ligated above the renal arteries after staged axillary-bifemoral, hepatorenal, and splenorenal bypasses.
APA Citation
Glousman, B., Macsata, R., Catalanotti, J., Sarin, S., Sidawy, A., & Nguyen, B. (2019). Preservation of renal perfusion by hepatorenal and splenorenal bypasses before explantation of an infected abdominal aortic endograft. Journal of Vascular Surgery Cases and Innovative Techniques, 5 (2). http://dx.doi.org/10.1016/j.jvscit.2018.12.012