Schache D J, Englund R, Effeney D J
Princess Alexandra Hospital, Brisbane, Queensland.
Aust N Z J Surg. 1988 May;58(5):377-80. doi: 10.1111/j.1445-2197.1988.tb01083.x.
False aneurysm formation is a major complication of vascular surgery. The most frequent site of anastomotic false aneurysm formation is the femoral artery. Between January 1974 and June 1986, 26 patients with 42 femoral false aneurysms were treated at the Princess Alexandra Hospital. Aneurysms developed following Dacron arterial grafting (29 aneurysms), saphenous vein grafting (10 aneurysms), umbilical vein grafting (one aneurysm) and femoral embolectomy (two aneurysms). Arterial wall failure (with intact suture and graft) was the most frequent operative finding. Ten recurrent aneurysms developed. There was a significantly greater number of recurrences when resuture or patch repair was employed than when an interposition graft was used as a repair. The development of a femoral anastomotic false aneurysm should be viewed as a total failure of that anastomosis and repair should be by replacement with an interposition graft rather than repair of the failed anastomosis by suture or patch.
假性动脉瘤形成是血管外科手术的主要并发症。吻合口假性动脉瘤形成最常见的部位是股动脉。1974年1月至1986年6月，亚历山德拉公主医院收治了26例患有42个股部假性动脉瘤的患者。动脉瘤在涤纶动脉移植术后（29个动脉瘤）、大隐静脉移植术后（10个动脉瘤）、脐静脉移植术后（1个动脉瘤）以及股动脉取栓术后（2个动脉瘤）出现。动脉壁衰竭（缝线和移植物完整）是最常见的手术发现。出现了10例复发性动脉瘤。采用再次缝合或补片修复时的复发数量明显多于采用间置移植物修复时。股部吻合口假性动脉瘤的形成应被视为该吻合口的完全失败，修复应采用间置移植物置换，而不是通过缝合或补片修复失败的吻合口。
