Obturator bypass with nonreversed translocated saphenous vein

Obturator bypasses with nonreversed translocated saphenous veins were performed in two patients with femoral graft infections. There were no deaths, limb loss, or graft occlusions at two and one-half years of follow-up in the first case and one and one-half years of follow-up in the second case. The nonreversed translocated saphenous vein is a versatile graft that allows for extraanatomic autogenous reconstruction in the face of infection. In both cases, small-caliber distal saphenous veins precluded performing reversed saphenous vein grafts.