Novosti
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Year 2017 Vol. 25 No 6
CASE REPORTS
V. SIHOTSKÝ 1,2, P. BEREK 1,2, I. KOPOLOVETS 1,4, M. KUBÍKOVÁ 1,2, M. TOMEČKO 1, M. STANČÁKOVÁ 2,3, I. DRAHOVSKÁ 2,3, M. FRANKOVIČOVÁ 1,2
AORTOBIFEMORAL GRAFT INFECTION: POSSIBILITIES OF TREATMENT
Clinic of Vascular Surgery VÚSCH a.s. 1,
Faculty of Medicine PJ Šafárik 2,
University Hospital of L. Pasteur 3, Košice,
Slovakia
DSME “Uzhgorod National University” 4, Uzhgorod,
Ukraine
Authors describe two case reports of patients with infected aortobifemoral graft. Both were treated by total graft excision. In the first case they decided for extra anatomical revascularization of lower extremities after total graft excision, because of virulent infection (Staphylococcus aureus and G+ bacteries) and graft enteral fistula. They performed axilobifemoral bypass grafting. In the second case, where infection was not so virulent (Staphylococcus epidermidis) they decided for in situ reconstruction with desobliterated native aorta, iliac arteries and femoral vein. Both patients are now without signs of infection and they can walk without claudication pain. Graft infection is one of the most serious complications of aortobifemoral bypass surgery therefore the prevention of infection is very important. It is important to keep all rules of asepsis and antisepsis during surgery. Treatment of graft infection is based on intravenously administered antibiotics and excision of infected graft. Limb revascularization after graft removal can be provided by extra anatomical bypass or in situ arterial reconstruction.
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88000, Ukraine, Uzhgorod,
Universitetskaya st., 10,
Uzhgorod National University
Tel.: +380 50 558 82 11
E-mail: i.kopolovets@gmail.com
Ivan I. Kopolovets
Sihotský V., PhD, Vascular Surgeon, Clinic of Vascular Surgery, East Slovakian Cardiovascular Institute and P.J. Šafýrik´s University, Košice, Slovakia. Deputy of the Head of the Department for Pedagogics.
Berek P., PhD, Vascular Surgeon, Deputy of the Head of the Department for Treatment Clinic of Vascular Surgery, East Slovakian Cardiovascular Institute and P.J. Šafýrik´s University, Košice, Slovakia.
Kopolovets I., PhD, Researcher of DSME "Uzhgorod National University", Uzhgorod, Ukraine. Vascular surgeon, Clinic of Vascular Surgery, East Slovakian Cardiovascular Institute, Košice, Slovakia.
Kubikový M., PhD, Vascular Surgeon, Clinic of Vascular Surgery, East Slovakian Cardiovascular Institute and P.J. Šafýrik´s University, Košice, Slovakia.
Tomečko M., PhD, Vascular Surgeon, Clinic of Vascular Surgery, East Slovakian Cardiovascular Institute and P.J. Šafýrik´s University, Košice, Slovakia.
Stančýkový M., General Surgeon, I. Surgical Clinic, University Hospital of J. Pasteur and P.J. Šafýrik´s University, Košice, Slovakia.
Drahovský I., PhD, Head of the Department, I. Clinic of Radiodiagnosics and Imagine Techniques, University Hospital of J. Pasteur and P.J. Šafýrik´s University, Košice, Slovakia
Frankovičový М., PhD, Professor, Head of the Department, Clinic of Vascular Surgery, East Slovakian Cardiovascular Institute and P.J. Šafýrik´s University, Košice, Slovakia.
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