[Aneurysm development and late rupture of retrogradely perfused iliac arteries].
We report the course of 2 patients with ruptured aneurysms of the iliac artery admitted in hemorrhagic shock which were treated successfully. These 2 cases demonstrate that a rupture of a retrogradely perfused aneurysm as a late complication of aortobifemoral bypass grafting is possible even after 10 years. Wether these aneurysms are causally connected with the peripheral run-off remains unclear. In our opinion, these 2 examples underline the importance of long-term follow up after resection of abdominal aortic aneurysms with femoral end to side bypass anastomoses. The goal is the early detection and therapy of metachronous iliac aneurysms before rupture.
Fahlke
J
J
Klinik für Allgemein-, Viszeral- und Gefässchirurgie, Otto-von-Guericke-Universität, Magdeburg.
Tautenhahn
J
J
Halloul
Z
Z
Bürger
T
T
D000368:Aged; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D012771:Shock, Hemorrhagic / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed