title: [Anastomotic false aneurysms after under-diaphragmatic bypasses: about 25 cases].
abstract: 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.
authors.affiliation: Service de chirurgie cardiovasculaire, hôpital La-Rabta, 1007 Bab-Sâadoun-Jabbari, Tunis, Tunisie. skanokha@gnet.tn
authors.forename: S
authors.initials: S
authors.lastname: Ben Omrane
authors.forename: K
authors.initials: K
authors.lastname: Kaouel
authors.forename: J
authors.initials: J
authors.lastname: Ziadi
authors.forename: N
authors.initials: N
authors.lastname: Elleuch
authors.forename: M
authors.initials: M
authors.lastname: Ben M'rad
authors.forename: T
authors.initials: T
authors.lastname: Kalfat
authors.forename: A
authors.initials: A
authors.lastname: Khayati
authors.forename: A
authors.initials: A
authors.lastname: Abid
mesh_terms: 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*