ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Obturator bypass in the treatment of prosthetic graft infection: Classic but still effective
Gökalp Altun1, Zerrin Pulathan1, Doğuş Hemsinli2
11Department of Cardiovascular Surgery, Medicine Faculty of Karadeniz Technical University, Trabzon, Turkey
2Department of Cardiovascular Surgery, Medicine Faculty of Recep Tayyip Erdoğan University, Rize, Turkey
DOI : 10.5606/tgkdc.dergisi.2018.15744
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.
Keywords : Bilateral; graft infection; obturator bypass; synchronous
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