| A Case of Non-Anastomotic False
Aneurysm of Late Fiber Deterioration in Dacron Graft |
(Department of Cardiovascular Surgery, Omiya Medical
Center, Jichi Medical School, Omiya, Japan)
| Akifusa Hariya |
Atsushi Yamaguchi |
Hideo Adachi |
| Seiichiro Murata |
Masahiko Okada |
Takashi Ino |
|
Dacron prostheses are the most widely
used grafts in replacement procedures for abdominal aortic aneurysms,
but they are not perfect grafts. We encountered a rare case of
late graft complication. A 66-year-old man was admitted to our
hospital with a pulsatile mass in an abdominal operation scar.
He had received placement of a Y-shaped Cooley double velour
knitted Dacron graft 18 years previously. Computed tomography
and angiography demonstrated graft dilatation and an aneurysm.
After resection of the graft aneurysms, the operative findings
showed a non-anastomotic aneurysm formation due to longitudinal
division near the graft guideline. In this case, this graft failure
may have been due to the deterioration of the filter of the Dacron
prosthesis itself. Therefore it is important to perform careful
long-term follow-up in patients with implanted Dacron arterial
prostheses.
Jpn. J. Cardiovasc. Surg. 30: 95-98 (2001) |
|
