Article information
La infección de una prótesis vascular es un hecho raro, aunque en muchos casos puede amenazar tanto la viabilidad de la extremidad donde esté implantada como la vida del paciente. Se presenta el caso de un paciente con múltiples antecedentes quirúrgicos vasculares que acudió con una tumoración inguinal que es confundida en principio con un absceso. Tras estudios complementarios se diagnostica de infección protésica de bypass aortobifemoral. Se planifica resección protésica y revascularización de forma atípica. Durante su ingreso se comprueba la existencia de dos microorganismos diferentes en dos localizaciones independientes a lo largo del bypass.
Se consigue la curación de la infección mediante resección del bypass y revascularización diferida mediante dos bypass axilofemorales por territorio sano, con recuperación completa del paciente y permeabilidad de la prótesis.
Se exponen las diversas técnicas diagnósticas y opciones terapéuticas en discusión en la actualidad, justificando el método empleado por nosotros para la curación del paciente y dejando siempre abierta una posibilidad terapéutica distinta para cada paciente.
Se consigue la curación de la infección mediante resección del bypass y revascularización diferida mediante dos bypass axilofemorales por territorio sano, con recuperación completa del paciente y permeabilidad de la prótesis.
Se exponen las diversas técnicas diagnósticas y opciones terapéuticas en discusión en la actualidad, justificando el método empleado por nosotros para la curación del paciente y dejando siempre abierta una posibilidad terapéutica distinta para cada paciente.
Palabras clave:
Infección protésica vascular
Bypass aortobifemoral
Tumoración inguinal
Infection of a vascular prosthesis is rare although in many cases it may threaten both the viability of the end where it is implanted and the life of the patient.
A patient with vascular surgery history who attended the hospital for an inguinal tumor which was at first confused with an abscess is reported. Following complementary studies prosthetic infection of aortobifemoral bypass was diagnosed. Prosthetic resection and atypical revascularization was programed. During hospital stay two different microorganisms were found in two independent localizations along the bypass.
Cure of the infection was achieved by resection of the bypass and revascularization was performed by two axilofemoral bypass in healthly territory with complete recovery of the patient and permeability of the prosthesis.
The different diagnostic techniques and therapeutic options currently under debate are presented justifying the method herein used for the cure of the patient and leaving different therapeutic possibilities open for each patient
A patient with vascular surgery history who attended the hospital for an inguinal tumor which was at first confused with an abscess is reported. Following complementary studies prosthetic infection of aortobifemoral bypass was diagnosed. Prosthetic resection and atypical revascularization was programed. During hospital stay two different microorganisms were found in two independent localizations along the bypass.
Cure of the infection was achieved by resection of the bypass and revascularization was performed by two axilofemoral bypass in healthly territory with complete recovery of the patient and permeability of the prosthesis.
The different diagnostic techniques and therapeutic options currently under debate are presented justifying the method herein used for the cure of the patient and leaving different therapeutic possibilities open for each patient
Keywords:
Vascular prosthetic infection
Aortobifemoral bypass
Inguinal tumor
