Title

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

© 2019 The Authors 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.

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