Endoluminal repair of a pseudoaneurysm in a patient with cryopreserved arterial allograft of the iliac vessel.
Prosthetic infection is one of the most serious complications of vascular surgery, and its treatment remains a surgical challenge. Good results have been reported using in situ replacement with arterial allografts, but late degeneration of the graft itself may necessitate further repair. We report a case of rupture and pseudoaneurysm formation of an iliac artery homograft urgently treated by endoluminal grafting with complete and immediate exclusion of the sac without complications. At 6-month follow-up angio-computed tomography showed patency of the vascular stent graft without leak evidence. Two years and 6 months after the procedure, the patient is well and alive.
Bustamante
M
M
Department of Vascular Radiology, Marqués de Valdecilla University Hospital, Santander, Spain. sbustamante@humv.es
Gomez-Dermit
V
V
García
I
I
Pontón
A
A
Revuelta
J M
JM
Gonzalez-Tutor
A
A
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D015925:Cryopreservation; D020878:Device Removal; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery; D007083:Iliac Artery / Q000637:transplantation*; D008297:Male; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D036542:Tomography, Spiral Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
D000900:Anti-Bacterial Agents