A Case of Large Anastomotic Pseudoaneurysms at Both Sites Following Prosthetic Graft Replacement between Aorta and Left External Iliac Artery

(Department of Surgery II, Ehime University School of Medicine, Ehime, Japan)

Shinji Takano Kanji Kawachi Yoshihiro Hamada
Tatsuhiro Nakata Hiroyuki Kikkawa Nobuo Tsunooka
Yoshitsugu Nakamura
A 84-year-old man was admitted with an abdominal tumor. Prosthetic graft replacement between the aorta and the left external iliac artery was performed 17 years previously. CT scan and angiography showed a large anastomotic pseudoaneurysms at the sites of proximal and distal anastomosis. A Y graft prosthesis replacement was performed. The size of the proximal anastomotic pseudoaneurysm was 7~6~5cm, and that of the distal anastomotic pseudoaneurysm was 15~10~10cm. They resulted from cutting at anastomosis. Large anastomotic pseudoaneurysms at both sites is rare.
@Jpn. J. Cardiovasc. Surg. 31F341-343 (2002)