| A Case of Obturator Foramen Bypass
for Infected Femoral Artery after Use of an Arterial Closure
Device |
(Department of Cardiovascular Surgery, Kawasaki
Social Insurance Hospital, Kawasaki, Japan and Kikuna Memorial
Hospital*, Yokohama, Japan)
| Shin Uchikawa |
Noboru Murata* |
Kazuhide Hayashi |
|
A 52-year-old man with a 10-year
history of severe diabetes was referred to our hospital with
hemorrhage from a methicillin-resistant Staphylococcus aureus-infected
femoral artery following the use of an arterial closure device
(Prostar XL: Perclosure, Co., Ltd., Redwood, CA, USA). At surgery,
the common femoral artery showed a circular area of disintegration,
9 mm in diameter, due to massive infection. One month after femoral
angioplasty with a saphenous vein patch, re-hemorrhage occurred
as a result of uncontrollable infection. Next, an obturator foramen
(OF) bypass was performed and the infected femoral artery was
removed. Two months after OF bypass, the wound healed and the
patient was well. We conclude that OF bypass is a satisfactory
method of treatment for compromised patients with an infected
femoral artery.
Jpn. J. Cardiovasc. Surg. 32: 370 -373 (2003) |
|
