[Diagnosis and treatment of pseudoaneurysms after reconstructive interventions with the use of synthetic prostheses].
The author analyses an experience with treatment of 43 patients with false aneurysms of anastomoses after reconstructions in the aorto-femoral zone (5.8% of all the patients operated on). A combination with an infection of the prostheses was registered in 9 patients, two of them had aneurysms of the proximal aorto-prosthetic anastomosis. All the patients were operated upon. In three patients with aorto-prosthetic aneurysm resection of the proximal anastomosis was followed by reprosthesing and formation of a new aorto-prosthetic anastomosis. In combination with infection, the explants were completely ablated, the abdominal part of the aorta was ligated. The extraanatomical bifurcational axillary-femoral shunting was fulfilled with good results. When reconstructing the distal anastomoses the aneurysm was resected and the prosthesis was elongated with a linear insertion followed by the formation of a new distal anastomosis. The main blood flow in the extremity was obtained in all the patients. Lethality was 2.3%.
Cherviakov
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D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery; D001366:Axillary Artery / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007866:Leg / Q000098:blood supply; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000175:diagnosis