[Surgical treatment of pseudoaneurysms of the proximal anastomosis after aortofemoral reconstructions].
The authors discuss surgical treatment of pseudoaneurysms of proximal anastomoses of prostheses with the aorta after reconstructive operations in the aortofemoral zone in 9 patients, whose ages ranged from 32 to 65 years. The time between the formation of the aneurysms and the operation before their diagnosis ranged from 15 days to 6 years. The pseudoaneurysms developed due to infection in 3 patients, poor-quality suture material (silk) in one patient, endarterectomy from the aorta at the proximal anastomosis in one patient, and further development of the principal disease in 2 patients; the cause of the disease in 2 patients could not be identified. Six patients were subjected earlier to bifurcation aortofemoral shunting, one patient to bifurcation aortofemoral prosthetics, and 2 patients to linear prosthetics of the infrarenal part of the aorta. The primary reconstructive operation was conducted for occlusive lesions of the aortofemoral zone in 7 patients (of atherosclerotic genesis in 6 of them and one patient had unspecific aortoarteritis), and for aneurysm of the abdominal aorta in 2 patients (of posttraumatic origin on one). The authors claim resection with repeated replacement of the aorta by a linear or bifurcation prosthesis to be the optimal method for reconstruction in pseudoaneurysms of proximal anastomoses. One patient died in the immediate postoperative period. The immediate and late-term results of repeated operations were good in 8 of 9 patients in follow-up periods of 8 months to 5 years. Recurrences of the disease were not encountered.
Pokrovskiĭ
A V
AV
Dan
V N
VN
Kiiashko
V A
VA
Karazeev
G L
GL
D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery*; D001163:Arteriovenous Anastomosis / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical; D001807:Blood Vessel Prosthesis; D005268:Femoral Vein / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D013997:Time Factors
Khirurgicheskoe lechenie lozhnykh anevrizm proksimalńykh anastomozov posle aortobedrennykh rekonstruktsiĭ.