Pantaloon Vein Grafts - An Alternative Fix for an Old Problem

Abstract

Background: Pantaloon vein grafts (PVG) were first used to replace infrarenal aortic grafts. However, they may have other applications, such as femoral aortic bifurcation reconstruction.

Methods: We herein present 2 different cases, the first with a prosthetic graft infection at the recipient femoral bifurcation, the second for a late occlusion of the femoral bifurcation following endarterectomy and prosthetic patch closure, who were treated with PVG fashioned from the ipsilateral great saphenous vein.

Conclusion: The use of PVG to reconstruct the femoral bifurcation allowed for concurrent axial and profunda femoris artery revascularization, while correcting diameter mismatch with the inflow source and seem particularly suitable for infected operative fields.