Nonanastomotic pseudoaneurysm with complete disruption of an expanded polytetrafluoroethylene axillofemoral bypass graft

Shintaro Shibutani, Hideaki Obara, Toshihiro Kakefuda, Yuko Kitagawa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Rupture of an expanded polytetrafluoroethylene (ePTFE) vascular graft is rare. We report a nonanastomotic pseudoaneurysm associated with complete disruption of an ePTFE graft that occurred 6 years after an axillofemoral bypass. The 81-year-old patient had undergone neither trauma nor infection. The aneurysmal segment was resected, and a new ePTFE graft was interposed. The patient recovered uneventfully and was well 4 years later. Histologic analysis revealed a torn graft edge, consistent with a rupture due to excessive force, but scanning electron microscopy showed that the internal structure of the prosthesis was intact. The cause of the midgraft rupture remains unknown.

Original languageEnglish
Pages (from-to)422.e9-422.e12
JournalAnnals of Vascular Surgery
Volume26
Issue number3
DOIs
Publication statusPublished - 2012 Apr

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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