[Complete traumatic rupture of a cross over femoro-femoral bypass graft. First case report].

The authors report the clinical case of a 66 years old man who underwent, in November 2007, a cross-over femoro-femoral bypass, using a spiral protected 8 mms PTFE graft, to treat a disabling intermittent claudication of the left lower extremity. In April 2009, seventeen month later, he suffered a brutal kick injury in the suprapubic area, resulting in a local voluminous hematoma, including the scrotum, shock and left lower extremity ischemia. Angio-CT scans disclosed a complete fracture of the prosthesis. The patient underwent immediate surgical management, consisting in the local thrombectomy and reconstruction of the graft continuity, through an end-to-end anastomosis. He was discharged seven days later and one month later he was found asymptomatic and in good condition. Following an exhaustive revision of the literature, the authors conclude that this is the first report of such complication of a cross-over femoro-femoral bypass graft.