Pelvic necrosis: a complication of infected aortic graft excision.
Publication/Presentation Date
6-1-1993
Abstract
Infection is a devastating complication of synthetic aortic graft surgery. Patients with significant occlusive atherosclerosis of the internal iliac arteries undergoing aortic graft removal for graft infection may be at risk of pelvic and midbody necrosis. An unusual and fatal complication of this nature associated with the management of synthetic aortic graft infection has been encountered in two patients treated by extra-anatomic revascularization and staged removal of the infected aortic prosthesis. The hallmark of their presentation was pelvic and midbody necrosis in the presence of excellent distal perfusion with palpable pulses. Marginal pelvic circulation was therefore compromised further by graft removal and absence of retrograde pelvic perfusion. The finding of focal ischemic changes in the pelvic area of a patient with increasing serum creatinine phosphokinase activity, leukocytosis, myoglobinuria and paraplegia following infected aortic graft removal signals a grave and fatal prognosis.
Volume
1
Issue
3
First Page
262
Last Page
264
ISSN
0967-2109
Published In/Presented At
Das BM, Zama N, Satiani B, Vaccaro PS. Pelvic necrosis: a complication of infected aortic graft excision. Cardiovasc Surg. 1993 Jun;1(3):262-4. PMID: 8076042.
Disciplines
Medicine and Health Sciences
PubMedID
8076042
Department(s)
Department of Surgery
Document Type
Article