Autologous superficial femoral vein for aortic reconstruction in infected fields

Autogenous reconstruction is one option available for patients with aortic graft infection or mycotic aneurysms. We reviewed our recent institutional experience with all patients undergoing aortic reconstruction using autolog ous superficial femoral vein (SFV). Between February 1995 and November 1997 , eight patients (five with prosthetic aortic graft infection and three wit h mycotic aneurysms, including one ruptured mycotic aneurysm) underwent sin gle-stage aortic reconstruction using autologous SFV. Therapy for graft inf ection included graft excision and replacement with aortobifemoral or aorto femoral (with subsequent cross femoral) grafts fashioned from the SFV. The two patients undergoing elective repair of mycotic aneurysms were treated w ith extensive SFV patches, and the patient with a ruptured mycotic aneurysm underwent SFV tube grafting. Autogenous reconstruction of the aorta using the SFV in infected fields shows promise for salvage of life and limb durin g early experiences and short-term follow-up. Morbidity and mortality rates compare favorably with those from existing series, reconstruction is anato mic, and reinfection potential is low. Long-term follow-up and more extensi ve experience with this technique are needed to establish its role relative to other conventional methods.