Fukui S, Goëau-Brissonnière O, Coggia M, Franc B, Patel J C
Service de Chirurgie générale et vasculaire, Hôpital Ambroise Paré, Boulogne.
Presse Med. 1996 Nov 9;25(34):1631-2.
Atheromatous aneurysmal degeneration of a venous bypass graft is a rare and late event after venous bypass grafting. We report the case of a 49-year-old man in whom a large aneurysm of a saphenous graft implanted 10 years earlier ruptured to the skin. Amputation was required. Graft degeneration can lead to complications which may be life or limb-threatening due to graft rupture, graft thrombosis or distal embolization. Close follow-up after arterial reconstruction using a vein graft is therefore highly warranted for early detection and correction of any abnormalities before onset of complications.
静脉搭桥移植物的动脉粥样瘤样变性是静脉搭桥术后一种罕见的晚期事件。我们报告了一例49岁男性患者，其10年前植入的大隐静脉移植物动脉瘤破裂至皮肤表面，最终需要截肢。移植物变性可导致并发症，由于移植物破裂、移植物血栓形成或远端栓塞，这些并发症可能危及生命或肢体。因此，在使用静脉移植物进行动脉重建后，密切随访对于在并发症发生前早期发现并纠正任何异常情况非常必要。
