Vascular reconstruction utilizing artery from an amputated extremity: A case report

Although infrainguinal arterial reconstruction is best performed with autol ogous tissue, reconstruction with vein in an infected field has been associ ated with vein graft disruption and hemorrhage. H.P., a 61-year-old man wit h peripheral vascular disease, was initially seen with an infected prosthet ic right femoral-tibioperoneal artery bypass graft. Because of the presence of purulent drainage from the proximal and distal anastomotic regions and his comorbidities, a right through-knee guillotine amputation was performed , followed by graft excision and groin debridement. Right hip and thigh per fusion was preserved via arterial reconstruction by using a segment of enda rterectomized popliteal artery, harvested from the amputated extremity. Art erial reconstruction with autologous tissue from an amputated extremity all owed us to balance our patient's overall risks with life and tissue preserv ation. This technique may be applied in the settings of lower extremity isc hemia, trauma, or malignancy requiring concomitant arterial or venous recon struction.