Richardson J V, Mcdowell H A
Ann Surg. 1976 Aug;184(2):179-82. doi: 10.1097/00000658-197608000-00008.
A multi-faceted pathogenesis of vascular anastomotic aneurysms encompassing both the earlier and modern eras of vascular surgery has been proposed. A review of the clinical records of patients with such aneurysms suggests that while silk sutures were an important causative factor in the earlier era, this complication continues to occur with the more recent use of synthetic suture material. Future examination of the data suggests that the location of the anastomosis remains important in the development of these aneurysms. Moreover, operative findings suggest that graft tension, shearing and vibration forces along the suture line and degeneration of the host vessel are the more important causative factors today.
有人提出了涵盖血管外科早期和现代的血管吻合口动脉瘤的多方面发病机制。对这类动脉瘤患者临床记录的回顾表明，虽然丝线缝合在早期是一个重要的致病因素，但在最近使用合成缝合材料时，这种并发症仍会发生。对数据的进一步研究表明，吻合口的位置在这些动脉瘤的发生发展中仍然很重要。此外，手术结果表明，如今移植物张力、缝线处的剪切力和振动力以及宿主血管的退变是更重要的致病因素。
