A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin:
Treatment and management of complications

erdil, nevzat; Akça, Barış

doi:10.9739/tjvs.2022.1141

A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications

Barış Akça, (İnönü Üniversitesi Tıp Fakültesi Kalp Damar Cerrahisi Anabilim Dalı, Malatya, Türkiye)

Nevzat Erdil (İnönü Üniversitesi Tıp Fakültesi Kalp Damar Cerrahisi Anabilim Dalı, Malatya, Türkiye)

Turkish journal of vascular surgery

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Yıl: 2022 Cilt: 31 Sayı: 1 Sayfa Aralığı: 62 - 65 Metin Dili: İngilizce DOI: 10.9739/tjvs.2022.1141 İndeks Tarihi: 01-07-2022

A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications

Öz:

Anastomotic pseudoaneurysm is a late complication secondary to graft materials dehiscence due to degeneration, and the femoral artery is riskier than others. Surgical repair is usually recommended for femoral pseudoaneurysms of >2 cm. Redo surgery of the groin brings an ascending risk of lymphorrhea or lymphocele, a condition which has no consensus on the effective treatment. In this article, we present the treatment and management of complications of a rare, non-infected giant left groin anastomotic pseudoaneurysm due to late graft dehiscence in a patient who underwent aortobifemoral graft 20 years ago for Leriche syndrome

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Fansa İ, Çalışkan K, Altınay L, Güzeloğlu M, Alp Küçüker Ş. Left femoral pseudoaneurysm secondary to intravenous drug addiction: A case report. Turk J Vasc Surg 2017;26:66-9.
2. Hagino RT, Taylor SM, Fujitani RM, Mills JL. Proximal anastomotic failure following infrarenal aortic reconstruction: late development of true aneurysms, pseudoaneurysms, and occlusive disease. Ann Vasc Surg 1993;7:8-13.
3. Naddaf A, Hasanadka R, Hood D, Hodgson K. Repair of an Anastomotic Pseudoaneurysm with a Novel Hybrid Technique. Ann Vasc Surg 2020;63:439-42.
4. Kilic A, Arnaoutakis DJ, Reifsnyder T, Black JH 3rd, Abularrage CJ, Perler BA, et al. Management of infected vascular grafts. Vasc Med 2016;21:53-60.
5. De Siqueira JR, Sun ZDY, Tahir W, Bhasin N, Parry D. Use of Omniflow® II in infected vascular grafts with femoral anastomotic dehiscence. Ann Vasc Surg 2020;65:160-5.
6. Gloviczki P, Robert C Lowell: Lymphatic complications of vascular surgery. In: Robert B, editor. Rutherford Vascular Surgery. 5th ed. Philedelphia; WB Saunders; 1998. p. 781-8.
7. Klode J, Klötgen K, Körber A, Schadendorf D, Dissemond J. Polidocanol foam sclerotherapy is a new and effective treatment for post-operative lymphorrhea and lymphocele. J Eur Acad Dermatol Venereol 2010;24:904-9.
8. Cengiz Çolak M, Erdil N, Dişli O, Kahraman E, Işık B, Kutlu R, et al. PTFE Greft Safen Anastomoz Ayrışmasına Bağlı Gelişen Retroperitoneal Dev Psödoanevrizma. Turk J Vasc Surg 2011;20:90-3.
9. Klonaris C, Katsargyris A, Vasileiou I, Markatis F, Liapis CD, Bastounis E. Hybrid repair of ruptured infected anastomotic femoral pseudoaneurysms: Emergent stent- graft implantation and secondary surgical debridement. J Vasc Surg 2009;49:938-45.
10. Demarche M, Waltregny D, van Damme H, Limet R. Femoral anastomotic aneurysms: pathogenic factors, clinical presentations and treatment. A study of 142 cases. Cardiovasc Surg 1999;7:315-22.
11. Dennis JW, Littooy FN, Greisler HP, Baker WH. Anastomotic pseudoaneurysms, a continuing late complication of vascular reconstructive procedures. Arch Surg 1986;121:314-7.
12. Lawrence PF, Harlander-Locke MP, Oderich GS, Humphries MD, Landry GJ, Ballard JL, et al. The current management of isolated degenerative femoral artery aneurysms is too aggressive for their natural history. J Vasc Surg 2014;59:343-9.
13. Basés Valenzuela C, Bruna Esteban M, Puche Pla J. Terapia con presión negativa para el tratamiento de fístula linfática inguinal. Cir Esp 2014;92:133-5

APA	Akça B, erdil n (2022). A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. , 62 - 65. 10.9739/tjvs.2022.1141
Chicago	Akça Barış,erdil nevzat A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. (2022): 62 - 65. 10.9739/tjvs.2022.1141
MLA	Akça Barış,erdil nevzat A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. , 2022, ss.62 - 65. 10.9739/tjvs.2022.1141
AMA	Akça B,erdil n A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. . 2022; 62 - 65. 10.9739/tjvs.2022.1141
Vancouver	Akça B,erdil n A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. . 2022; 62 - 65. 10.9739/tjvs.2022.1141
IEEE	Akça B,erdil n "A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications." , ss.62 - 65, 2022. 10.9739/tjvs.2022.1141
ISNAD	Akça, Barış - erdil, nevzat. "A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications". (2022), 62-65. https://doi.org/10.9739/tjvs.2022.1141

APA	Akça B, erdil n (2022). A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. Turkish journal of vascular surgery, 31(1), 62 - 65. 10.9739/tjvs.2022.1141
Chicago	Akça Barış,erdil nevzat A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. Turkish journal of vascular surgery 31, no.1 (2022): 62 - 65. 10.9739/tjvs.2022.1141
MLA	Akça Barış,erdil nevzat A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. Turkish journal of vascular surgery, vol.31, no.1, 2022, ss.62 - 65. 10.9739/tjvs.2022.1141
AMA	Akça B,erdil n A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. Turkish journal of vascular surgery. 2022; 31(1): 62 - 65. 10.9739/tjvs.2022.1141
Vancouver	Akça B,erdil n A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications. Turkish journal of vascular surgery. 2022; 31(1): 62 - 65. 10.9739/tjvs.2022.1141
IEEE	Akça B,erdil n "A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications." Turkish journal of vascular surgery, 31, ss.62 - 65, 2022. 10.9739/tjvs.2022.1141
ISNAD	Akça, Barış - erdil, nevzat. "A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications". Turkish journal of vascular surgery 31/1 (2022), 62-65. https://doi.org/10.9739/tjvs.2022.1141