RECONSTRUCTION OF A MYCOTIC ANEURYSMATIC COMMON ILIAC ARTERY BY USE OF A SUPERFICIAL FEMORAL VEIN GRAFT

A 38-year-old polytoxicomanic male patient developed an occlusion of b oth popliteal arteries associated with an aneurysm of the right common iliac artery. A septic cause was suspected and an antimycotic therapy was instituted, but the diameter of the aneurysm increased to 3 cm du ring 6 months. Moreover, multiple periarterial abscesses occurred. The aneurysm was resected and the iliacal axis reconstructed in situ, usi ng a superficial femoral vein interposition. Six months after operatio n, patency was confirmed by duplex sonography. Phlebodynamic examinati ons showed normal flow functions at the donor site.