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Unintegrated PTFE patch used in the first angioplasty procedure, wound debrided.
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Due to the fact that femoral arteries and PTFE patch showed no signs of integration (Fig. 1), being surrounded by cellular debris and purulent secretions, femoral tripod reconstruction was decided with autologous material.
PTFE patch explanted, venous patch angioplasty performed and deep femoral artery reimplanted.
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In the next stage the common and superficial femoral arteries angioplasty was performed with the two venous patches and the deep femoral artery was reimplanted (Fig. 2).
Granulation tissue after negative pressure wound therapy.
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With antibiotic treatment and NPWT foam changed every three days, the wound granulated (Fig. 3) and was skin grafted after 10 days.
Fully integrated skin graft, at 3 months follow-up.
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The groin skin graft was perfectly integrated at three months follow-up (Fig. 4 ).