Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective

Hemşinli, Doğuş; Pulathan, Zerrin; ALTUN, Gökalp

Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective

Gökalp ALTUN, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Trabzon, Türkiye)

Zerrin PULATHAN, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Trabzon, Türkiye)

Doğuş HEMŞİNLİ (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Rize, Türkiye)

Türk Göğüs Kalp Damar Cerrahisi Dergisi

0 0

Yıl: 2018 Cilt: 26 Sayı: 3 Sayfa Aralığı: 480 - 483 Metin Dili: İngilizce İndeks Tarihi: 28-11-2018

Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective

Öz:

Aortic graft infection is associated with high mortality and morbidity rates. In this article we report a 60-year-old man who developed bilateral groin wound infection and progressively worsening lower extremity ischemia one year after he underwent aortobifemoral bypass. The infected graft was resected and bilateral obturator bypass was performed. The obturator bypass, an extra-anatomical bypass closest to anatomical position with high patency rates, continues to be favored in revascularization of the lower extremity when the inguinal region should be avoided. Likewise, the obturator bypass is an effective surgical approach against recurrent infections.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Enfekte prostetik greft tedavisinde obturator baypas: Eski fakat hala etkili

Öz:

Aortik greft enfeksiyonu, yüksek mortalite ve morbidite oranlarıyla ilişkilidir. Bu yazıda aortobifemoral baypas ameliyatı uygulandıktan bir yıl sonra kasık yara yeri enfeksiyonu ve alt ekstremite iskemisi gelişen 60 yaşındaki erkek hasta sunuldu. Enfekte greft çıkarıldı ve hastaya iki taraflı obturator baypas uygulandı. Obturator baypas, yüksek açıklık oranları ve anatomik pozisyona en yakın ekstra-anatomik baypas olmasıyla, inguinal bölgeden kaçınılması gerektiğinde alt ekstremite revaskülarizasyonunda halen tercih edilmektedir. Sonuç olarak, obturator baypas tekrarlayan enfeksiyonlara karşı etkili cerrahi yaklaşımdır.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

7. Shaw RS, Baue AE. Management of sepsis complicating arterial reconstructive surgery. Surgery 1963;53:75-86.
6. Onoda M, Furutani A, Akiyama N, Morikage N, Yoshimura K, Hamano K. Infected aneurysms of bilateral deep femoral arteries due to Campylobacter fetus subspecies fetus. Ann Vasc Surg 2008;22:476-80.
5. Thompson JK, Strunk RS, Giglia JS. Bilateral obturator bypass for combined aortic and femorofemoral graft infection. J Vasc Surg 2006;44:888.
4. Patel A, Taylor SM, Langan EM 3rd, Snyder BA, Cull DL, Sullivan TM, et al. Obturator bypass: a classic approach for the treatment of contemporary groin infection. Am Surg 2002;68:653-8.
3. Masaki H, Tabuchi A, Yunoki Y, Kuwata N, Tamura T, Honda T, et al. Long-term results of obturator bypass. Ann Vasc Dis 2016;9:80-4.
2. Engin C, Posacioglu H, Ayik F, Apaydin AZ. Management of vascular infection in the groin. Tex Heart Inst J 2005;32:529-34.
1. Siracuse JJ, Nandivada P, Giles KA, Hamdan AD, Wyers MC, Chaikof EL, et al. Prosthetic graft infections involving the femoral artery. J Vasc Surg 2013;57:700-5.

APA	ALTUN G, Pulathan Z, Hemşinli D (2018). Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. , 480 - 483.
Chicago	ALTUN Gökalp,Pulathan Zerrin,Hemşinli Doğuş Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. (2018): 480 - 483.
MLA	ALTUN Gökalp,Pulathan Zerrin,Hemşinli Doğuş Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. , 2018, ss.480 - 483.
AMA	ALTUN G,Pulathan Z,Hemşinli D Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. . 2018; 480 - 483.
Vancouver	ALTUN G,Pulathan Z,Hemşinli D Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. . 2018; 480 - 483.
IEEE	ALTUN G,Pulathan Z,Hemşinli D "Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective." , ss.480 - 483, 2018.
ISNAD	ALTUN, Gökalp vd. "Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective". (2018), 480-483.

APA	ALTUN G, Pulathan Z, Hemşinli D (2018). Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 26(3), 480 - 483.
Chicago	ALTUN Gökalp,Pulathan Zerrin,Hemşinli Doğuş Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. Türk Göğüs Kalp Damar Cerrahisi Dergisi 26, no.3 (2018): 480 - 483.
MLA	ALTUN Gökalp,Pulathan Zerrin,Hemşinli Doğuş Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.26, no.3, 2018, ss.480 - 483.
AMA	ALTUN G,Pulathan Z,Hemşinli D Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2018; 26(3): 480 - 483.
Vancouver	ALTUN G,Pulathan Z,Hemşinli D Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2018; 26(3): 480 - 483.
IEEE	ALTUN G,Pulathan Z,Hemşinli D "Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 26, ss.480 - 483, 2018.
ISNAD	ALTUN, Gökalp vd. "Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective". Türk Göğüs Kalp Damar Cerrahisi Dergisi 26/3 (2018), 480-483.