Singular case of tardive anastomotic disjunction in a Dacron R vascular graft.
We investigated a case of anastomotic disjunction of the termino-lateral insertion of a bifurcate aortic graft in the right external iliac artery. The graft in woven Dacron R n. 19, was implanted in 1977 and the left femoral insertion became infected shortly after surgery. The infection was treated according to standard procedures with removal of the infected branch, reconstruction with the transobturatory by-pass and antibiotics. For antibiotic treatment of local and general sepsis the approach was completely new as regards dose regimen and duration. In 1993 a pseudoaneurysm developed through weakening of the right iliac anastomosis. In view of the anamnesis we were surprised to find that the origin was of a mechanical nature.
Istitute of Pathologic Anatomy, Milan University, Italy.
E
E
Tardito
V
V
Caputo
E
E
Mascheroni
A
A
Motta
M L
ML
Repetti
I
I
Pasargiklian
D000368:Aged; D000667:Ampicillin / Q000627:therapeutic use; D000714:Anastomosis, Surgical / Q000379:methods; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D015901:Angiography, Digital Subtraction; D001011:Aorta / Q000601:surgery*; D001696:Biomechanical Phenomena; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D003131:Combined Modality Therapy; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D011093:Polyethylene Terephthalates; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D017211:Treatment Failure; D014567:Urography
D011093:Polyethylene Terephthalates; D000667:Ampicillin