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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.

FIGURE 2.

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.

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).

FIGURE 5.

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.
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
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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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