A variant of repeated reconstructive surgery in a patient with infection of the aorto-femoral prosthesis, aorto-duodenal fistula and stricture of the right and left ureter

Introduction. The purpose of the description of this clinical observation was to demonstrate the clinical and instrumental picture and tactics of successful treatment of a patient with total infection of aortobedral-bifurcation vascular prosthesis.
A clinical example. The article describes a clinical case of successful treatment of a patient with total infection of aortobedral-bifurcation vascular prosthesis. After preoperative examination and preparation, the patient was operated on as planned. The removal of the aorto-femoral prosthesis, plastic surgery of the aortotomy opening with a patch from the autovena, ilio-hip prosthetics of the reversed PBV was performed. Suturing of a duodenal wall defect. Autovenous prosthetics of the ureteral area on the right.
Conclusion. The preferred principles of surgical treatment of patients with infections of total aorto-femoral bifurcation prostheses are the use of aggressive surgical treatment, complete resection of the infected prosthesis, replacement of an autologous venous shunt in situ from the superficial femoral vein, massive preoperative and postoperative antibiotic therapy.

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