Excision of infected PTFE graft from the neck.

Subclavian artery aneurysm is rare. Young man (20yrs) developed right subclavian artery aneurysm after blunt injury. Aneurysm was repaired with saphenous vein but thrombosed. So, it was replaced by PTFE graft. After 3 months PTFE graft also occluded.

A sinus discharging pus formed exposing the graft. Infected PTFE graft was excised. A rim of graft was left proximally to avoid injury. Early excision of infected synthetic grafts with or with out another bypass can avoid further complications.