Friedman S G, Long K C, Scher L A
Division of Vascular Surgery, North Shore University Hospital, Manhasset, N.Y. 11030, USA.
Ann Vasc Surg. 1996 Sep;10(5):490-2. doi: 10.1007/BF02000599.
Since the introduction of axillofemoral bypass more than 30 years ago, there have been numerous reports demonstrating the value of this procedure in patients with aortoiliac occlusive disease who are too ill to undergo direct reconstruction. Along with the increasing use of axillofemoral bypass have come the usual graft-related complications including thrombosis, hematoma formation, and infection. A more unusual occurrence, however, is disruption of the axillary anastomosis with formation of a false aneurysm. We report herein a case in which the body of an axillofemoral graft fractured just distal to the axillary anastomosis resulting in complete disruption of the graft.
自30多年前腋股旁路术问世以来，已有大量报告证明该手术对于因病情过重而无法接受直接重建术的主-髂动脉闭塞性疾病患者的价值。随着腋股旁路术使用的增加，常见的与移植物相关的并发症也随之出现，包括血栓形成、血肿形成和感染。然而，一种更不寻常的情况是腋部吻合口破裂并形成假性动脉瘤。我们在此报告一例腋股移植物主体在腋部吻合口远端断裂，导致移植物完全中断的病例。
