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Online edition:ISSN 2758-089X

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A Case of False Aneurysm of a Dacron Graft in Aortitis Syndrome

Among the complications after grafting of a prosthesis, false aneurysm due to a torn prosthesis is extremely rare. A 56-year-old female was operated on for complete occlusion of the left external iliac artery. A bypass was performed from the left common iliac artery to the left femoral artery in 1971, using a double-velour Dacron graft (Wesolowski) 8 mm in diameter. In August 1996, the patient noticed a pulsatile mass in her left groin. Angiography revealed a false aneurysm at the site of the graft. On operation, the false aneurysm was found to have formed on the mid-distal-portion of the graft. After resection of the aneurysm, reconstruction was successfully achieved with an 8 mm Gelsoft double velour knitted Dacron graft (It common iliac-femoral bypass). The postoperative course was uneventful. Postoperative angiography showed a well-patented graft. Fractured fibers were noted in the aneurysmal part of the resected specimen. Therefore, the false aneurysm was caused by rupture of the implanted graft.

著者名
Morita I, et al
28
2.3.4
87-92
DOI
10.11482/KMJ28(2.3.4)87-92.2002.pdf

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