Aortic graft infection is associated with high mortality and morbidity rates. In this article we report a 60-year-old man who developed bilateral groin wound infection and progressively worsening lower extremity ischemia one year after he underwent aortobifemoral bypass. The infected graft was resected and bilateral obturator bypass was performed. The obturator bypass, an extra-anatomical bypass closest to anatomical position with high patency rates, continues to be favored in revascularization of the lower extremity when the inguinal region should be avoided. Likewise, the obturator bypass is an effective surgical approach against recurrent infections.
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http://dx.doi.org/10.5606/tgkdc.dergisi.2018.15744 | DOI Listing |
PLoS One
January 2025
Aesthetic and Restorative Dentistry Department, College of Dentistry, University of Baghdad, Baghdad, Iraq.
This study evaluated the extent to which obturation materials bypass fractured endodontic instruments positioned in the middle and apical thirds of severely curved simulated root canals using different obturation techniques. Sixty resin blocks with simulated root canals were used, each with a 50° curvature, a 6.5 mm radius of curvature, and a length of 16.
View Article and Find Full Text PDFClin Case Rep
January 2025
Student Research Committee, School of Dentistry, Mashhad University of Medical Sciences Mashhad Iran.
Radix entomolaris (RE) characterized by an extra root in mandibular molars is a rare phenotype. When this condition coincides with complex root canal curvatures or S-shaped canals, root canal therapy (RCT) challenges arise. The present study presents three cases of RE along with complex root curvatures.
View Article and Find Full Text PDFVasc Endovascular Surg
February 2025
Division of Vascular Surgery, University of South Florida College of Medicine, Tampa, FL, USA.
Innovations (Phila)
April 2024
Department of Cardiovascular Surgery, University of Chicago, IL, USA.
Objective: Femoral artery cannulation is the most commonly used approach for cardiopulmonary bypass (CPB) in robotic cardiac procedures. However, without adding a distal perfusion cannula, leg ischemia can occur in up to 11.5% of patients.
View Article and Find Full Text PDFMed J Islam Repub Iran
June 2023
Department of Plastic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Background: A rather common side effect of using prosthetic grafts is infection of the groin area. Infections in the groin may be avoided by performing arterial bypass tenneling via the obturator foramen during lower extremity revascularization. This study aimed to evaluate the safety and efficacy of extra-anatomical bypass obturator in patients with groin infection.
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