Abstract

Prosthetic vascular graft infections in the groin are rare but potentially fatal complications requiring immediate intervention. Obturator bypass offers a valuable extra-anatomical route for limb salvage in cases where conventional pathways are compromised by infection. We present a 67-year-old female who developed a right femoral artery pseudoaneurysm secondary to iatrogenic dissection after coronary angiography. Initial graft interposition was complicated by persistent wound infection and eventual hemorrhagic dehiscence at the distal anastomosis. The infected graft was urgently excised, and revascularization was successfully achieved using an obturator bypass with an 8 mm ringed polytetrafluoroethylene (PTFE) graft. Postoperative recovery was uneventful, and infection was rapidly controlled. Obturator bypass is a reliable and effective revascularization strategy in the context of groin graft infections with severe local complications.

Key words: Obturator bypass, femoral artery, graft infection, pseudoaneurysm, limb salvage, vascular surgery