Department of Cardiovascular Surgery, Kushiro-City General Hospital, 1-12 Shunkodai, Kushiro, 085-0822, Japan.
Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Gen Thorac Cardiovasc Surg. 2021 Feb;69(2):340-342. doi: 10.1007/s11748-020-01430-2. Epub 2020 Jul 6.
Although perigraft seroma (PGS) is a well-known complication of vascular surgery, optimal therapy has not yet been established. A 90-year-old patient underwent a bypass from the right subclavian artery to the left carotid and subclavian arteries for debranching thoracic endovascular aortic repair. Four years post-surgery, computed tomography revealed PGS at the anastomosis site. Percutaneous needle aspiration and surgical drainage were ineffective in treating PGS. We performed a relining procedure using covered stents for the bypass graft that resolved the PGS. This procedure is minimally invasive, avoids graft excision, and can be especially valuable for elderly patients.
虽然围手术期皮下积液（PGS）是血管外科的一种常见并发症，但尚未确立最佳治疗方法。一位 90 岁的患者因胸主动脉腔内修复术的分支重建，接受了自右锁骨下动脉至左颈总动脉和锁骨下动脉的旁路手术。术后 4 年，计算机断层扫描显示吻合口处有 PGS。经皮穿刺抽吸和手术引流对 PGS 的治疗无效。我们对旁路移植血管使用覆膜支架进行了衬里修复，解决了 PGS 问题。该手术具有微创性，避免了移植物切除，对老年患者尤其有价值。
