Successful coaxial double-vein graft for infrarenal aortic pseudoaneurysm due to Salmonella infection associated with hepatic resection for hepatocarcinoma.
This is a case of aortic pseudoaneurysm due to Salmonella aortitis successfully treated by coaxial double-vein graft replacement (femoral vein and internal jugular vein) associated with hepatic resection for hepatocarcinoma. The aim of the technique is to improve the solidness of the vascular anastomosis and the tensile strength of the autologous vein graft, thus preventing long-term degeneration. Simultaneous hepatic resection did not affect clinical outcome. At 5-year follow-up, neither morphological alteration of the double-vein graft nor neoplastic relapse of the hepatocellular carcinoma was observed. This surgical technique could potentially improve long-term outcome and could therefore be considered a useful modification of the classic femoral vein graft for substitution of the septic infrarenal aorta when an extension to the iliac or femoral artery is not necessary.
Department of Surgery, University of Brescia, Brescia, Italy.
Stefano Maria
SM
Giulini
Stefano
S
Bonardelli
Franco
F
Nodari
Edoardo
E
Cervi
Gianpiero
G
Pandolfo
Luca
L
Lussardi
D017541:Aneurysm, False / Q000453:epidemiology / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000453:epidemiology / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000453:epidemiology / Q000382:microbiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006528:Carcinoma, Hepatocellular / Q000453:epidemiology* / Q000601:surgery; D015897:Comorbidity; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000453:epidemiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications* / Q000453:epidemiology