Superiorly based rectus abdominis wraparound flap for axillofemoral graft sepsis

Prosthetic vascular graft sepsis, although uncommon, can lead to catastroph ic sequelae for life and limb. Axillofemoral grafts are predisposed to seps is and perigraft seromas because of their length, subcutaneous tunneling, a nd infrainguinal anastomosis, and are often performed in elderly, debilitat ed patients. The authors detail the use of a superiorly based rectus abdomi nis muscle flap, in combination with a sartorius muscle flap to salvage a S zilagy/Samson grade III septic axillounifemoral graft. The superiorly based rectus abdominis wraparound muscle flap should be considered a salvage opt ion for select cases of sepsis involving axillofemoral grafts.