A Successful Surgical Repair of Anastomotic Aneurysm Complicated with Aorto-renal Bypass 31 Years after the Initial Operation.
10.4326/jjcvs.27.245
- VernacularTitle:左腎動脈血行再建術後吻合部仮性動脈りゅうの一治験例
- Author:
Takeshi Shimamoto
;
Mitsuhiko Matsuda
;
Takeshi Soeda
;
Masaki Aota
;
Kazuhiko Doh-i
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(4):245-248
- CountryJapan
- Language:Japanese
-
Abstract:
A 55-year-old man was admitted with anterior chest pain. He had received aorto-renal bypass for left renal artery stenosis at the age of 24. His coronary angiography with ergotamine malate provocation showed 99% stenosis in the left anterior descending artery and circumflex artery and abdominal aortography revealed an aneurysm with a diameter of 4cm at the proximal site of the graft anastomosis. The patient was surgically treated with aneurysmectomy and PTFE grafting (7mm) between abdominal aorta and the already-implanted graft to the left renal artery. His postoperative course was uneventful and no major complication such as renal failure were observed. Anastomotic aneurysm is a fairly common complication associated with arterial reconstruction which is most common in the common femoral artery. This is the first reported case of anastomotic aneurysm complicated by aorto-renal bypass.
