PMC10134173_01
CT angiogram showing extensive aorto-iliac disease.
10.1177_2050313X231165631-fig1.jpg
PMC10134173_01_10.1177_2050313X231165631-fig1.jpg
fig1-2050313X231165631
His evaluation of vascular disease showed bilateral aortoiliac disease (Figure 1).
Image showing the exposed prosthetic grafts.
10.1177_2050313X231165631-fig2.jpg
PMC10134173_01_10.1177_2050313X231165631-fig2.jpg
fig2-2050313X231165631
His post-operative period was complicated by lymph leak and surgical site infection of bilateral groin wounds, which ultimately led to exposed prosthetic grafts (Figure 2).
Image showing marking of the flaps (a) and dissection of the myocutaenous flap (b and c).
10.1177_2050313X231165631-fig3.jpg
PMC10134173_01_10.1177_2050313X231165631-fig3.jpg
fig3-2050313X231165631
He underwent bilateral rectus femoris myocutaneous flaps to cover the soft-tissue defect over the exposed prosthetic grafts (Figure 3).
Image showing the final appearance after graft positioning and closure.
10.1177_2050313X231165631-fig4.jpg
PMC10134173_01_10.1177_2050313X231165631-fig4.jpg
fig4-2050313X231165631
Myocutaneous flaps were tunnelled under the upper thigh skin to reach the exposed prosthetic grafts without tension (Figure 4).