Patch péricardique dans le traitement des infections de prothèse artérielle périphérique

Prosthetic vascular infections are rare, occurring
in less than 3 % of cases. If left untreated within the requi-
red timeframe, serious complications such septic shock
and anastomotic rupture with hemorrhage may occur and
lead to the patient’s death. Targeted and prolonged intra-
venous or oral antibiotic therapy is necessary but insuffi-
cient without surgical revision and removal of the infected
prosthetic material. Once the infected prosthetic material
is removed, blood continuity must be restored to ensure
downstream vascularization and avoid amputation. There
are two types of repair: extra-anatomical and in situ recons-
tructions. For the latter, it is ideal to avoid using prosthetic
material. The solutions described in the literature are most
often autologous venous grafts and cryopreserved arterial
allografts. These are not always available. An alternative is
to use a bovine pericardial patch, shaping it into a tube on
the table with a longitudinal suture. We report a case of an
infected common femoral artery prosthesis replaced with
a pericardial patch and covered with the sartorius muscle.