A Case of Dacron Graft Aneurysm 18 Years after Left Subclavian Artery-Descending Aortic Bypass
10.4326/jjcvs.32.172
- VernacularTitle:左鎖骨下動脈‐下行大動脈バイパス術後１８年目に生じたＤａｃｒｏｎ人工血管非吻合部りゅうの１例
- Author:
Manabu Sakurai
;
Yoshiharu Takahara
;
Kenji Mogi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2003;32(3):172-174
- CountryJapan
- Language:Japanese
-
Abstract:
Dacron grafts have made great progress and the material has become almost perfect recently. However, we encountered a rare case of a late-graft complication. A 34-year-old man was operated on for coarctation of the aorta in July 1982. Left subclavian artery-descending aortic bypass was performed using a Cooley double velour knitted graft. Eighteen years later, the patient was admitted to our hospital with an abnormal shadow in his chest X-ray. Angiography and computed tomography demonstrated a non-anastomotic aneurysm of the graft. Under cardiopulmonary bypass and deep hypothermic circulatory arrest, reoperation with a woven Dacron graft was successfully performed. This case suggests that it is important to follow up patients with implanted Dacron arterial prostheses because of the potential for rupture.
