Late aneurysm formation in a femoro-popliteal polytetrafluoroethylene graft

Since improvement in the material, true aneurysms and pseudoaneurysm formations have become relatively rare complications after femoro-popliteal reconstruction with polytetrafluoroethylene (PTFE) grafts. We report a case of late graft rupture and pseudoaneurysm formation within the straight femoral...

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Bibliographic Details
Published in:European radiology 1999-01, Vol.9 (8), p.1678-1681
Main Authors: Biederer, J, Müller-Hülsbeck, S, Loose, J R, Heller, M
Format: Article
Language:English
Subjects:
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Blood Vessel Prosthesis
Femoral Artery - surgery
Follow-Up Studies
Humans
Male
Middle Aged
Polytetrafluoroethylene
Popliteal Artery - surgery
Prosthesis Failure
Radiography
Time Factors
Ultrasonography
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Summary:Since improvement in the material, true aneurysms and pseudoaneurysm formations have become relatively rare complications after femoro-popliteal reconstruction with polytetrafluoroethylene (PTFE) grafts. We report a case of late graft rupture and pseudoaneurysm formation within the straight femoral part of a femoro-popliteal bypass with reinforced (PTFE-wrapped) Gore-Tex graft. The rupture occurred 7 years after implantation without history of direct traumatization. Intraoperatively the whole bypass showed macro- and microscopically visible deterioration of the wall with almost complete disruption at the site of the aneurysm. The graft had to be replaced completely. In conclusion, we recommend continuous long-term follow-up of these patients preferably with duplex ultrasonography.
ISSN:0938-7994
1432-1084
DOI:10.1007/s003300050909