Spontaneous perigraft hematoma suggesting transgraft hemorrhage seven years after thoracic aortic replacement with a Dacron graft.
As a previously unrecognized late graft-related complication, we report a case of spontaneous perigraft hemorrhage, which was evidenced by contrast extravasation on computed tomographic scan seven years after thoracic aortic replacement with a knitted Dacron graft. There was no anastomotic problem or graft tear, and the hematoma seemed to result from transgraft hemorrhage. Inadequate graft healing and use of a knitted graft in the thoracic aorta seem underlying. Surgeons should be aware of this complication and we advocate careful long-term follow-up.
Shiiya
Norihiko
N
Department of Cardiovascular Surgery, Hokkaido University Hospital, N14W5, Kita-ku, Sapporo 060-8648, Japan. shiyanor@med.hokudai.ac.jp
Kunihara
Takashi
T
Matsuzaki
Kenji
K
Sugiki
Takashi
T
D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D012086:Reoperation; D014057:Tomography, X-Ray Computed