Adolescent external iliac artery trauma: recurrent aneurysmal dilatation of an iliofemoral saphenous vein graft treated by stent-grafting.
An adolescent male sustained a severe penetrating injury to the external iliac artery. Emergency surgical revascularization was with a reversed long saphenous vein interposition graft. The primary graft and the subsequent revision graft both became aneurysmal. The second graft aneurysm was successfully excluded by endovascular stent-grafts with medium-term primary patency. A venous graft was used initially rather than a synthetic graft to reduce the risk of infection and the potential problems from future growth. Aneurysmal dilatation of venous grafts in children and adolescents is a rare but recognized complication. To the best of our knowledge, exclusion of these aneurysms with stent-grafts has not been previously reported in the adolescent population.
Lenton
James
J
Department of Vascular Radiology, Leeds General Infirmary, Leeds, UK. jlenton@doctors.org.uk
Davies
John
J
Homer-Vanniasinkam
S
S
McPherson
Simon
S
D000058:Accidental Falls; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D021721:Balloon Occlusion / Q000295:instrumentation / Q000379:methods; D002648:Child; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D005500:Follow-Up Studies; D006084:Graft Rejection; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D008297:Male; D015641:Radiography, Interventional; D012008:Recurrence; D019233:Retreatment; D018570:Risk Assessment; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents; D016378:Tissue Transplantation / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery