In this article, we present the treatment and management of complications of a rare, non-infected giant left groin anastomotic pseudoaneurysm due to late graft dehiscence in a patient who underwent aortobifemoral graft 20 years ago for Leriche syndrome
📌 3 Maddede Bu Makale
🎯
Amaç & Hipotez:Anastomotic pseudoaneurysm is a late complication secondary to graft materials dehiscence due to degeneration, and the femoral artery is riskier than others.
📊
Temel Bulgular & Veri:Surgical repair is usually recommended for femoral pseudoaneurysms of >2 cm.
💡
Sonuç & Katkı:In this article, we present the treatment and management of complications of a rare, non-infected giant left groin anastomotic pseudoaneurysm due to late graft dehiscence in a patient who underwent aortobifemoral graft 20 years ago for Leriche syndrome
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Özet
Anastomotic pseudoaneurysm is a late complication secondary to graft materials dehiscence due to degeneration, and the femoral artery is riskier than others. Surgical repair is usually recommended for femoral pseudoaneurysms of >2 cm. Redo surgery of the groin brings an ascending risk of lymphorrhea or lymphocele, a condition which has no consensus on the effective treatment. In this article, we present the treatment and management of complications of a rare, non-infected giant left groin anastomotic pseudoaneurysm due to late graft dehiscence in a patient who underwent aortobifemoral graft 20 years ago for Leriche syndrome
🔖
Bu Makaleye Atıf Yap
AKÇA, B., ERDİL, N. (2022). A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. Turkish journal of vascular surgery, Cilt: 31 - Sayı: 1, 62–65. https://ajindex.com/articles/417636
Fansa İ, Çalışkan K, Altınay L, Güzeloğlu M, Alp Küçüker Ş. Left femoral pseudoaneurysm secondary to intravenous drug addiction: A case report. Turk J Vasc Surg 2017;26:66-9
Hagino RT, Taylor SM, Fujitani RM, Mills JL. Proximal anastomotic failure following infrarenal aortic reconstruction: late development of true aneurysms, pseudoaneurysms, and occlusive disease. Ann Vasc Surg 1993;7:8-13
Naddaf A, Hasanadka R, Hood D, Hodgson K. Repair of an Anastomotic Pseudoaneurysm with a Novel Hybrid Technique. Ann Vasc Surg 2020;63:439-42
Kilic A, Arnaoutakis DJ, Reifsnyder T, Black JH 3rd, Abularrage CJ, Perler BA, et al. Management of infected vascular grafts. Vasc Med 2016;21:53-60
De Siqueira JR, Sun ZDY, Tahir W, Bhasin N, Parry D. Use of Omniflow® II in infected vascular grafts with femoral anastomotic dehiscence. Ann Vasc Surg 2020;65:160-5
Gloviczki P, Robert C Lowell: Lymphatic complications of vascular surgery. In: Robert B, editor. Rutherford Vascular Surgery. 5th ed. Philedelphia; WB Saunders; 1998. p. 781-8
Klode J, Klötgen K, Körber A, Schadendorf D, Dissemond J. Polidocanol foam sclerotherapy is a new and effective treatment for post-operative lymphorrhea and lymphocele. J Eur Acad Dermatol Venereol 2010;24:904-9
Cengiz Çolak M, Erdil N, Dişli O, Kahraman E, Işık B, Kutlu R, et al. PTFE Greft Safen Anastomoz Ayrışmasına Bağlı Gelişen Retroperitoneal Dev Psödoanevrizma. Turk J Vasc Surg 2011;20:90-3
Klonaris C, Katsargyris A, Vasileiou I, Markatis F, Liapis CD, Bastounis E. Hybrid repair of ruptured infected anastomotic femoral pseudoaneurysms: Emergent stent- graft implantation and secondary surgical debridement. J Vasc Surg 2009;49:938-45
Demarche M, Waltregny D, van Damme H, Limet R. Femoral anastomotic aneurysms: pathogenic factors, clinical presentations and treatment. A study of 142 cases. Cardiovasc Surg 1999;7:315-22
Dennis JW, Littooy FN, Greisler HP, Baker WH. Anastomotic pseudoaneurysms, a continuing late complication of vascular reconstructive procedures. Arch Surg 1986;121:314-7
Lawrence PF, Harlander-Locke MP, Oderich GS, Humphries MD, Landry GJ, Ballard JL, et al. The current management of isolated degenerative femoral artery aneurysms is too aggressive for their natural history. J Vasc Surg 2014;59:343-9
Basés Valenzuela C, Bruna Esteban M, Puche Pla J. Terapia con presión negativa para el tratamiento de fístula linfática inguinal. Cir Esp 2014;92:133-5