Successful Outcome of Obturator Bypass Surgery in Infected Femoral Pseudoaneurysm: Three Cases Report and Literature Review
Chanean Ruangsetakit MD*, Khamin Chinsakchai MD*, Suteekhanit Hahtapornsawan MD*, Chumpol Wongwanit MD*, Nuttawut Sermsathanasawadi MD, PhD*, Pramook Mutirangura MD*
Affiliation : * Vascular Surgery Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
The authors report a successful management of obturator bypass surgery in three patients with infected femoral pseudoaneurysm. This bypass reconstruction is an uncommon operation due to the difficult surgical technique and infrequent indications. In the present report, the authors reviewed the literature published between 1988 and 2008 consisting of 78 cases with the claim of obturator bypass surgery for this condition. It is important to note that this type of extra-anatomical bypass together with debridement and excision of infected femoral pseudoaneurysm might be another option to decrease the risk of vascular conduit infection and increase successful limb salvageability.
Keywords : Infection, Femoral pseudoaneurysm, Obturator bypass, Outcome
