title: Transverse rupture of ring-supported Dacron graft 10 years after axillobifemoral artery bypass: induced by graft deterioration and Fogarty thrombectomy.
abstract: A 70-year-old woman underwent an axillobifemoral artery bypass using a bifurcated ring-supported Dacron graft in 2004 and then noticed a pulsatile mass in the left flank 10 years later. A Fogarty thrombectomy was performed for acute graft occlusion. Eight months later, computed tomography revealed pseudoaneurysm formation in the graft body and surgical graft interposition was performed. The operative findings showed a transverse rupture of the graft just above the bifurcation. Histological findings revealed graft deterioration with filaments broken off from the graft. Although the cause of pseudoaneurysm formation was not apparent, the combination of graft deterioration and additional damage from the Fogarty thrombectomy was highly suspicious.
authors.affiliation: Department of Cardiovascular Surgery, Kinan Hospital, 46-70, Sinjyo-cho, Tanabe, 646-8588, Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Miyake
authors.affiliation: Department of Cardiovascular Surgery, Kinan Hospital, 46-70, Sinjyo-cho, Tanabe, 646-8588, Japan. Kei_cvsurg@icloud.com.
authors.forename: Nobuo
authors.initials: N
authors.lastname: Sakagoshi
authors.affiliation: Department of Cardiovascular Surgery, Kinan Hospital, 46-70, Sinjyo-cho, Tanabe, 646-8588, Japan.
authors.forename: Katsukiyo
authors.initials: K
authors.lastname: Kitabayashi
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D066254:Axillofemoral Bypass Grafting / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000209:etiology*; D017131:Thrombectomy
chemical_list: D011093:Polyethylene Terephthalates
keywords: Artificial graft; Fogarty thrombectomy; Graft deterioration; Pseudoaneurysm; Vascular surgery