[Rupture to the skin of atheromatous aneurysm on a femoropopliteal venous bypass using an in situ vein].
Atheromatous aneurysmal degeneration of a venous bypass graft is a rare and late event after venous bypass grafting. We report the case of a 49-year-old man in whom a large aneurysm of a saphenous graft implanted 10 years earlier ruptured to the skin. Amputation was required. Graft degeneration can lead to complications which may be life or limb-threatening due to graft rupture, graft thrombosis or distal embolization. Close follow-up after arterial reconstruction using a vein graft is therefore highly warranted for early detection and correction of any abnormalities before onset of complications.
Fukui
S
S
Service de Chirurgie générale et vasculaire, Hôpital Ambroise Paré, Boulogne.
Goëau-Brissonnière
O
O
Coggia
M
M
Franc
B
B
Patel
J C
JC
D000714:Anastomosis, Surgical / Q000009:adverse effects; D000783:Aneurysm / Q000209:etiology*; D001161:Arteriosclerosis / Q000209:etiology*; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011152:Popliteal Vein / Q000601:surgery*; D012422:Rupture, Spontaneous; D012501:Saphenous Vein / Q000601:surgery; D012867:Skin; D013997:Time Factors
Rupture à la peau d'un anévrysme athéromateux sur un pontage veineux fémoro-poplité par veine in situ.