An Unusual Delayed Pseudoaneurysm That Originated from a Bypass Suture Site and It Was Revealed to Be an Organizing Thrombus 7 Years after an Extraanatomic Bypass : A case report.
- Author:
Woo Surng LEE
1
;
Yo Han KIM
;
Hyun Keun CHEE
;
Jae Joon HWANG
;
Jun Seok KIM
;
Song Am LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, School of Medicine, Konkuk University, Korea. timesgoby@naver.com
- Publication Type:Case Report
- Keywords:
Pseudoaneurysm;
Arterial bypass
- MeSH:
Aneurysm, False;
Femoral Artery;
Humans;
Iliac Artery;
Risk Factors;
Sutures;
Thrombosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(4):532-536
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bypass surgery is performed for insuring continuity of a blood supply that is restricted due to obstruction of the native blood supply. Two types of surgery are commonly carried out: one is anatomic bypass and the other is extraanatomic bypass. Especially, extraanatomic bypass surgery is performed in patients who are a high risk for performing anatomical bypass surgery. The risk factors for anatomical bypass surgery are old age, infection, previous surgery and trauma. A 96-year-old patient underwent extraanatomic bypass surgery from the right femoral artery to the left femoral artery due to total occlusion of the left iliac artery, and 7 years after that operation, a pseudoaneurysm abruptly and spontaneously appeared from the bypass suture site without any predisposing factor. The lesion was revealed to be an organizing thrombus.