Two patients who received human umbilical vein (H.U.V.) femoropopliteal by-pass to revascularize ischemic limbs, and later underwent emergency operations for acute graft thrombosis, developed H.U.V. graft sepsis. The patients presented with haemorrhage, fever, pain and a growing mass at the site of the previous emergency procedure, one and five months later. An attempt at limited H.U.V. segment substitution failed. We then performed successful complete graft excisions combined with extra-anatomical H.U.V. revascularization. At present both patients are asymptomatic with well-functioning H.U.V. grafts, 7 and 13 months later. In both cases light and scanning electron microscopic studies were performed. Findings of these studies have been analyzed.
|Number of pages||8|
|Journal||Journal of Cardiovascular Surgery|
|Publication status||Published - 1983|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine