[Autogenous reconstruction in mycotic inguinal aneurysm--long-term result]

A ruptured mycotic aneurysm of the left femoral artery in the groin area in a 44-year-old man had to be surgically treated in 1990 by an autogenous in-situ-repair consisting of aneurysmectomy including the femoral bifurcation, autologous vein interposition using medium-term absorbable suture material, and local application of an antibiotic bonded collagen. The infection could be checked in a short time. Three years after the operation the check-up gave evidence of an excellent local result with good arterial circulation in both legs. Autogenous in-situ-repair appears to be the most efficient procedure for treatment of an arterial infection or an infected graft. Especially in the area of bifurcations (i.e. inguinal and popliteal as well) this management is preferable to the aseptic extra-anatomic bypass procedure, since only this method can preserve the orthograde perfusion of the bifurcation branches.