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The Journal of Cardiovascular Surgery 1999 April;40(2):271-4

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Arterial homografts in the management of infected axillofemoral prosthetic grafts

Bracale G. C., Porcellini M., Bernardo B., Bauleo A., Capasso R.

From the Department of Vascular Surgery Medical School University "Federico II", Naples, Italy


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Two ­lower ­limb ampu­tees ­with ­infected con­tra­lat­eral axil­lof­e­moral pros­thetic ­grafts ­received pre­served ­human ­arteries ­after ­removal of the ­infected mate­rials.
­Both ­grafts ­grew organ­isms (Enter­o­coccus spe­cies, ­plus Staph­y­lo­coccus spe­cies in one). ­Long ­length arte­rial con­duits ­were fash­ioned ­from ­freshly har­vested (in one ­patient) and cryo­pre­served (in ­another one) cadav­eric ­iliac and ­femoral ­arteries. One arte­rial homo­graft had ABO-com­pat­ibility ­with the recip­ient. No immu­no­sup­pres­sive ­drugs ­were admin­is­tered ­after ­repeat arte­rial recon­struc­tions. ­After 12 and 15 ­months ­both ­grafts are ­still ­patent, ­without ­parietal ­changes at ultra­so­nog­raphy; the ­patients ­have a ­viable ­remaining ­lower ­extremity and are ­free of symp­toms or re-in­fec­tion.

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