Methodist Journal

IN THIS ISSUE

Diabetes and the Heart

Vol 14, Issue 4 (2019)


FEATURED GUEST EDITOR

ISSUE INTRO

The Intersection of Diabetes and Cardiovascular Disease

See More
RECOGNITIONS

Guest Editors Steven Petak and Archana Sadhu Guide Issue on Diabetes and the Heart

See More

REVIEW ARTICLES See More

Cardiac Autonomic Neuropathy in Diabetes Mellitus

Stage-Based Management of Type 2 Diabetes Mellitus with Heart Failure

Imaging to Stratify Coronary Artery Disease Risk in Asymptomatic Patients with Diabetes

Update on Management of Type 2 Diabetes for Cardiologists

New Therapeutic Strategies for Type 2 Diabetes

Prediabetes: Why Should We Care?

Central Venous Pathologies: Treatments and Economic Impact

Venous Thrombosis and Post-Thrombotic Syndrome: From Novel Biomarkers to Biology

CASE REPORTS See More

Loperamide Mimicking Brugada Pattern

Reversed Pulsus Paradoxus in Right Ventricular Failure

Mycobacterium Chimaera Mimicking Sarcoidosis

Immune Checkpoint Inhibitor Related Cardiotoxicity

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER See More

A Right Ventricular Mass

CLINICAL PERSPECTIVES See More

POINTS TO REMEMBER

The Kidney as an Endocrine Organ

EXCERPTA

The Other Side of the Prescription

EXCERPTA

Telemedicine Shakes Up the ICU Experience

POINTS TO REMEMBER

Venous Thrombosis in Nephrotic Syndrome

EDITORIALS

Letter to the Editor in response to “Role of Subcutaneous Leadless Implantable Cardioverter Defibrillator in Young Patients

Vol 14, Issue 3 (2018)

Article Full Text

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER

Incision and Drainage of a Forgotten Vascular Graft

Jump to:
Article Citation:

DaSilva-DeAbreu A, Hsi B. Incision and Drainage of a Forgotten Vascular Graft. Methodist DeBakey Cardiovasc J. 2018;14(3):236.



Keywords
femoral-popliteal bypass , vascular graft

A 64-year-old woman with type-2 diabetes mellitus, peripheral artery disease with bilateral below-knee amputation, and recurrent soft tissue infections on her right thigh presented with a 5-day history of an abscess on the posterior side of her right thigh (Panel A). She was prescribed oral clindamycin followed by incision and drainage the next day, which revealed a vascular graft that protruded at about 20 cm from the draining site without any sign of bleeding (Panel B; in both panels, the patient is lying down with the right knee elevated).

She had undergone a femoral-popliteal bypass 2 years prior to presentation followed by ilio-peroneal bypass and excision of the former. She had right below-knee amputation 2 months later but continued having recurrent soft tissue infections on the right thigh associated with poorly controlled diabetes and a hemoglobin A1c of up to 18.5.

The patient was admitted to the hospital, where she received broad-spectrum antibiotics and underwent surgical exploration of the right groin. The femoral artery was located without evidence of graft anastomosis. The graft was retrieved from the superficial free end on the posterior aspect of the thigh. The wound tract was irrigated, obtaining notable purulent drainage. Wound cultures grew Pseudomonas aeruginosa, for which she received meropenem. She progressed uneventfully and was discharged home.

Add Comments

Please login to dialogue with author.

Comments