Fuladi Swapnil, Kamerkar Dhanesh, Bhate Sudhir, Dhekne Aniruddha
Department of CVTS, Ruby Hall Clinic, 201, S-9, Sun Paradise Phase 2, Sun City Road, Anand Nagar, Pune 411051 India.
Department of Vascular Surgery, Ruby Hall Clinic, Pune, 411001 India.
Indian J Thorac Cardiovasc Surg. 2018 Jul;34(3):381-383. doi: 10.1007/s12055-017-0580-4. Epub 2017 Aug 18.
Dacron grafts have been used as a conduit for large calibre arteries for many years successfully. However, these grafts can undergo complications such as aneurysm formation, rupture, and failure [1]. We report an unusual complication of a Dacron graft in a 45-year-old woman who had undergone extra-anatomical bypass for Takayasu aorto-arteritis aged 12 years. She presented with pain and pulsatile swelling in the left hypochondrium. Imaging confirmed huge fusiform aneurysm of Dacron graft involving all of its length. She underwent median sternotomy with laparotomy to replace aneurysmal graft with new Dacron graft.
多年来，涤纶人工血管已成功用作大口径动脉的导管。然而，这些人工血管可能会出现并发症，如动脉瘤形成、破裂和功能衰竭[1]。我们报告了一名45岁女性涤纶人工血管的罕见并发症，该女性12岁时因高安动脉炎接受了非解剖旁路手术。她出现左季肋部疼痛和搏动性肿胀。影像学检查证实涤纶人工血管出现巨大梭形动脉瘤，累及整个长度。她接受了正中胸骨切开术和剖腹手术，用新的涤纶人工血管替换了动脉瘤性人工血管。
