| Perigraft Seroma after Endovascular
Repair of the Abdominal Aortic Aneurysm |
(Department of Surgery, The Jikei University School
of Medicine, Tokyo, Japan and Department of Surgery, The Albert
Einstein College of Medicine*, New York, U.S.A.)
| Naoki Toya |
Takao Ohki* |
Makoto Sumi |
| Hisano Toriumi |
Yuka Negishi |
|
|
A 75-year-old man underwent endovascular
repair of the abdominal aortic aneurysm. The procedure was aorto-uni-femoral
endograft and femorofemoral crossover bypass using PTFE graft.
The postoperative course was satisfactory, but 4 years after
operation, he was admitted complaining of abdominal fullness.
CT scan showed significant increase of aneurysm diameter to 13cm
without evidence of endoleak. Endograft replacement with a new
Dacron graft was carried out. Intraoperative findings suggested
perigraft seroma related to the use of PTFE, and there was no
endoleak. The postoperative course was uneventful. Pathological
finding of aneurysm showed a lack of hemocytes and thrombocytes.
Jpn. J. Cardiovasc. Surg. 32: 285 -287 (2003) |
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