Clinical cases of latent late infection of bifurcation grafts after resection of abdominal aortic aneurysms

Vascular graft infection (VGI) is a life-threatening complication of reconstructive vascular surgery resulting in high mortality. Laboratory and visual assessment of clinical features, including a number of criteria, are crucial for the effective diagnosis of VGI. Diagnosis with MAGIC (Management of aortic graft infection collaboration) is a valuable tool in the examination of patients with suspected VGI, but requires further validation. The article presents a retrospective assessment of two cases with a similar clinical picture of a bifurcation prosthesis infection after resection of an abdominal aortic aneurysm with intramuscular bifurcation prosthetics and metastatic phlegmons of the lower limb in the long term after surgery. The difficulty in the analyzed clinical cases was in the lifetime diagnosis of prosthesis infection. Due to insufficient information for the diagnosis of VGI in these clinical cases, we want to discuss the question: are metastatic deep foci of infection one of the criteria for diagnosing VGI and an indication for prosthesis removal surgery?