Oz Bilgehan Savas, Yilmaz Ahmet Turan, Gunay Celalettin, Bulakbaşi Nail, Tatar Harun
Gulhane Military Medical Academy, Department of Cardiovascular Surgery and Radiology, Ankara, Turkey.
Vasc Endovascular Surg. 2002 Jul-Aug;36(4):327-9. doi: 10.1177/153857440203600413.
Since improvement in reinforced expanded polytetrafluoroethylene (ePTFE) grafts, true aneurysm and pseudoaneurysm formation have become relatively rare complications after axillofemoral reconstruction. This is a case report of a true aneurysm of an axillofemoral graft. The true aneurysm occurred 29 months after insertion of a reinforced ePTFE graft for aortoiliac occlusive disease. A mid-graft true aneurysm was identified during examinations without any trauma history. Continuous long-term follow-up is recommended for these reinforced ePTFE grafts because of rare aneurysm formation, preferably using duplex ultrasonography.
自从增强型膨体聚四氟乙烯（ePTFE）移植物得到改进后，真性动脉瘤和假性动脉瘤形成已成为腋股重建术后相对罕见的并发症。本文报告一例腋股移植物真性动脉瘤病例。该真性动脉瘤在因主髂动脉闭塞性疾病植入增强型ePTFE移植物29个月后发生。在检查期间发现移植物中部出现真性动脉瘤，患者无任何创伤史。鉴于动脉瘤形成罕见，建议对这些增强型ePTFE移植物进行持续长期随访，最好采用双功超声检查。
