[Anastomotic false aneurysms after under-diaphragmatic bypasses: about 25 cases].
The purpose of our study is to determine the causes and the management of anastomotic aneurysms. We report the cases of 25 patients with a mean age of 64 years at the time of initial surgical revascularisation. The mean interval between the first operation and the occurrence of anastomotic aneurysm is 5 years (range 2 months-11 years). The treatment consists on the interposition of a graft in 8 patients, anastomotic angioplasty in 9 patients and the reconstruction of the anastomosis in 8 patients. Hospital mortality was 20%. Late death occurs 3 patients and the long-term morbidity was evaluated at 22%. A recurrence of anastomotic false aneurysm occurred in 4 patients (16%) (Range 7 months-1 year). In conclusion anastomotic false aneurysm is one of the major complications of vascular reconstruction; careful follow-up can detect the rare instances of anastomotic aneurysm and reoperation can be accomplished with a low-rate of adverse outcome.
Ben Omrane
S
S
Service de chirurgie cardiovasculaire, hôpital La-Rabta, 1007 Bab-Sâadoun-Jabbari, Tunis, Tunisie. skanokha@gnet.tn
Kaouel
K
K
Ziadi
J
J
Elleuch
N
N
Ben M'rad
M
M
Kalfat
T
T
Khayati
A
A
Abid
A
A
D000714:Anastomosis, Surgical / Q000009:adverse effects*; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000009:adverse effects*