Pseudoaneurysm formation after Pasteurella multocida lower extremity vascular bypass graft infection

AbstractProsthetic vascular bypass graft infection is a rare complication requiring prompt identification and isolation of the organism. A 66-year-old woman developed left lower extremity pain and a pulsatile pseudoaneurysm 7 months after left common femoral to peroneal artery bypass with prosthetic...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2019-09, Vol.5 (3), p.232-234
Main Authors: Ferrari-Light, Dana, DO, MPH, Zimmermann, Eric, MD, Sundaram, Varuna, MD, Lee, Andy M., MD, FACS
Format: Article
Language:English
Subjects:
Case report
Graft infection
Pasteurella multocida
Pseudoaneurysm
Surgery
Vascular bypass graft
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Summary:AbstractProsthetic vascular bypass graft infection is a rare complication requiring prompt identification and isolation of the organism. A 66-year-old woman developed left lower extremity pain and a pulsatile pseudoaneurysm 7 months after left common femoral to peroneal artery bypass with prosthetic polytetrafluoroethylene graft, requiring re-exploration and a jump graft. Pasteurella multocida was isolated from blood and tissue culture specimens, and the patient admitted to a new kitten that frequently bit her lower extremities. Treatment included intravenous administration of ertapenem for 6 weeks followed by lifelong oral antibiotic suppression, which may offer the best chance for limb salvage when total graft explantation would result in amputation.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2019.02.005