Anastomotic External Iliac Artery False Aneurysm Developing 15 Years Later at the Site of Peripheral Anastomosis of a Temporary Bypass
10.4326/jjcvs.24.268
- VernacularTitle:15年前の一時バイパス末梢側吻合部から発生した外腸骨動脈吻合部仮性動脈瘤の1手術例
- Author:
Yasuhiko Nakajima
;
Takaaki Sugita
;
Shoji Watarida
;
Masahiko Onoe
;
Takehisa Nojima
;
Kazuhiko Katsuyama
;
Ryoko Tabata
;
Shuichi Matsuno
;
Atsumi Mori
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(4):268-271
- CountryJapan
- Language:Japanese
-
Abstract:
Anastomotic false aneurysm (AFA) of the aorta or iliac artery is a rare but life-threatening complication of prosthetic grafts. We report a surgical case involving AFA of the right external iliac artery which developed at the site of peripheral anastomosis of the temporary bypass procedure used during prosthetic reconstruction of the descending aorta for dissecting aneurysm (DeBakey IIIb) 15 years previously. A 60-year-old woman was hospitalized with rapidly growing right lower abdominal mass. Computed tomography and angiography revealed that the mass was an anastomotic external iliac artery false aneurysm and surgery was performed. The AFA was exposed transperitoneally and resected with a part of the intact external iliac artery without complication. Anatomical reconstruction was completed with a prosthesis. The postoperative course was uneventful. We conclude that patients with retroperitoneal grafts require lifelong routine periodic follow-up and if an AFA is discovered, it should be resected.
