Chousein Serchat, Yuksel Volkan, Geldi Onur, Canbaz Suat
Vascular. 2014 Jun;22(3):206-8. doi: 10.1177/1708538113478747.
Axillofemoral bypass operation is an alternative approach for patients at high risk for aortofemoral reconstruction and for patients with comorbid factors. Proximal anastomotic disruption, upper extremity thromboembolism, graft infection and seroma formation are known postoperative complications after axillofemoral bypass. Proximal anastomotic disruption is a severe complication in the early postoperative period and is usually secondary to technical errors in anastomosis, mechanical distress and infections. We performed a left axillofemoral bypass and left femoropopliteal bypass operation under general anesthesia by using an 8 mm full ringed polytetrafluoroethylene graft. On the seventh postoperative day, patient complained a sudden pain and swelling on left subclavian incision after a hyperabduction of the left arm. Patient was taken into operation theatre just after this complaint for suspicion of disruption of the proximal anastomosis. We report a case with proximal anastomotic disruption after axillofemoral bypass operation in accordance with literature data.
腋股旁路手术是主动脉股动脉重建术高危患者以及合并其他因素患者的一种替代治疗方法。近端吻合口破裂、上肢血栓栓塞、移植物感染和血清肿形成是腋股旁路术后已知的并发症。近端吻合口破裂是术后早期的一种严重并发症，通常继发于吻合技术失误、机械性损伤和感染。我们在全身麻醉下使用8毫米全环聚四氟乙烯移植物进行了左腋股旁路和左股腘旁路手术。术后第七天，患者在左臂过度外展后，左锁骨下切口处突然出现疼痛和肿胀。在出现此症状后，患者因怀疑近端吻合口破裂被立即送往手术室。我们根据文献资料报告一例腋股旁路手术后近端吻合口破裂的病例。
