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  • Title: Thoracofemoral bypass using spliced femoral vein with removal of an infected axillobifemoral bypass graft.
    Author: Hughes R, Moawad M, Harvey JS, Von Oppell U, Byrne J.
    Journal: Eur J Vasc Endovasc Surg; 2005 Apr; 29(4):429-32. PubMed ID: 15749045.
    Abstract:
    A 63-year-old male underwent emergency repair of a ruptured juxtarenal aortic aneurysm via a transabdominal approach using an aorto-bi-iliac Dacron graft. This became infected. A right axillobifemoral bypass was placed and the infected graft was removed with oversewing of the aorta. The patient was re-admitted 8 months later with an infected axillobifemoral prosthesis. We harvested both femoral veins (FV) and spliced them to perform a left thoracobifemoral bypass with simultaneous explantation of the infected graft. The patient remains well with a patent graft 20 months post-operatively.
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