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Neo-Femoral Artery Reconstruction with Autologous Bifurcated Great Saphenous Vein Graft in an 88-Year-Old Patient with a Large Infected Pseudoaneurysm Cover

Neo-Femoral Artery Reconstruction with Autologous Bifurcated Great Saphenous Vein Graft in an 88-Year-Old Patient with a Large Infected Pseudoaneurysm

Journal of Cardiovascular Emergencies
Volume 11 (2025): Issue 3 (September 2025)
By: Ludovic-Alexandru Szanto,  Alexandru-Andrei Ujlaki-Nagy,  Eliza Russu and  Emil-Marian Arbănași  
Open Access
|Sep 2025

Figures & Tables

FIGURE 1.

Preoperative CTA with 3D reconstruction showing thrombosis of the right EIA, CFA, PFA, and SFA: suprainguinal (A) and infrainguinal (B) views.
Preoperative CTA with 3D reconstruction showing thrombosis of the right EIA, CFA, PFA, and SFA: suprainguinal (A) and infrainguinal (B) views.

FIGURE 2.

Preoperative CTA demonstrating the pseudoaneurysm with active bleeding (yellow arrow) and the peri-pseudoaneurysmal infection area (asterisk).
Preoperative CTA demonstrating the pseudoaneurysm with active bleeding (yellow arrow) and the peri-pseudoaneurysmal infection area (asterisk).

FIGURE 3.

Intraoperative view after removal of the infected patch and preparation of the three femoral arteries for reconstruction.
Intraoperative view after removal of the infected patch and preparation of the three femoral arteries for reconstruction.

FIGURE 4.

Intraoperative stages of neo-femoral artery reconstruction: creation of a Y-shaped graft from two GSV segments (A); proximal anastomosis with the CFA (B); and final appearance of the reconstruction (C).
Intraoperative stages of neo-femoral artery reconstruction: creation of a Y-shaped graft from two GSV segments (A); proximal anastomosis with the CFA (B); and final appearance of the reconstruction (C).

FIGURE 5.

Coverage of the neo-femoral artery using a proximal sartorius muscle flap: flap preparation (A) and final appearance after coverage (B).
Coverage of the neo-femoral artery using a proximal sartorius muscle flap: flap preparation (A) and final appearance after coverage (B).

FIGURE 6.

Clinical appearance (A) and 3D CTA reconstruction (B) 1 month after surgery.
Clinical appearance (A) and 3D CTA reconstruction (B) 1 month after surgery.
DOI: https://doi.org/10.2478/jce-2025-0015 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
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Language: English
Page range: 106 - 111
Submitted on: Jul 20, 2025
Accepted on: Aug 23, 2025
Published on: Sep 23, 2025
Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
neo-femoral reconstruction,
autologous vein graft,
vascular surgery,
infected pseudoaneurysm,
TAVI
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Emergency medicine and intensive-care medicine,
Radiology

© 2025 Ludovic-Alexandru Szanto, Alexandru-Andrei Ujlaki-Nagy, Eliza Russu, Emil-Marian Arbănași, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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