Femoro-distal posterior tibial bypass--management of infected vein graft.

A case of local necrosis and infection of the skin overlying a femoro-to-posterior tibial artery saphenous vein bypass graft in a patient with pregangrenous symptoms is described. A method of circumvating this area with a new vein graft to isolate the exposed portion and re-establish vascular continuity is presented. This procedure permitted salvage of the limb and resolution of the signs and symptoms of claudication. Julio Popovsky, M.D., F.A.C.A. 11811 Shaker Blvd.