Abstract
Dacron prostheses are the most widely used grafts in replacement procedures for abdominal aortic aneurysms, having been proven as the most reliable substitute for arterial replacement. However, we present herein the rare case of an 82-year-old woman in whom nonanastomotic aneurysm formation occurred in the graft as a complication associated with a Dacron prosthesis. The patient presented with a pulsatile mass in the right inguinal region. She had undergone surgery 13 years earlier for an abdominal aortic aneurysm, at which time an aortobifemoral graft reconstruction had been performed with a double-velour knitted Dacron prosthesis. The pulsatile mass was found to be a nonanastomotic aneurysm of the right limb of the bifurcated graft with an intact distal anastomosis. In this case, the development of the graft aneurysm seemed to result from deterioration of the Dacron prosthesis itself due to mechanical fatigue caused by the inguinal band.
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References
Berger K, Sauvage LR (1981) Late fiber deterioration in DacronR arterial grafts. Ann Surg 193:477–491
Trippestad A (1985) Late rupture of knitted Dacron double velour arterial prostheses. Acta Chir Scand 151:391–395
Cooley DA, Subran A, Houchin DP (1981) Clinical experience in 1,940 patients with double velour knitted Dacron vascular prostheses: With particular reference to dilatation and aneurysm formation. Bull Texas Heart Institute 8:320–332
Ozaki S, Negishi N, Hagiwara H, Ishii Y, Okamoto I, Shinohara H, Muramatsu T, Ichiwata M, Suzuki K, Okumura H, Shimamura M, Sezai Y (1988) A case of non-anastomotic aneurysm of Dacron graft (in Japanese with English abstract). Nippon Rinshou Geka Igakkai Zasshi (J Jpn Soc Clin Surg) 49:2221–2227
Ohara I, Nakano S (1958) Rupture of arterial plastic prosthesis (Amylon-polyethylene tube). Report of a case and experimental studies. Arch Surg 77:55–60
Kumada J, Takemiya S, Matsumoto A, Wada T, Matsushita K (1976) Fates of synthetic grafts in clinical cases (in Japanese). Geka (Surgery) 38:610–615
Shirakata S, Hashimoto T, Murayama Y, Kitaura K, Esato S, Ohga K, Nakaji S, Oka T (1985) Prosthetic aneurysm in an axillofemoral Dacron bypass (in Japanese). Myakkangaku (J Jpn Coll Angiol) 17:295–300
Yasuda K, Tanabe T (1982) Complications due to deterioration of the synthetic grafts - Aneurysmal formation of Sparks graft and changes of Dacron graft (in Japanese). Junkankika (Cardioangiology) 11:89–92
Komoto Y (1982) Aneurysmal formation due to rupture of the synthetic graft (in Japanese). Junkankika (Cardioangiology) 11:92–94
Yasuda K, Tanabe T, Komoto Y, Kasai Y, Tsuburaya T, Sano F, Kusaba A, Kina M, Watanabe T, FuruyamaM, Okadome K, Muto Y, Inokuchi K, Matsumoto A, Katsumura T, Hirose M (1982) Postoperative complication due to deterioration of the synthetic arterial grafts (in Japanese). Junkankika (Cardioangiology) 11:89–106
Tominaga T, Toufukuji M, Ueyama M, Amata N, Sasaki S, Araki J, Kobatake O, Shibazaki S, Matano I, Watanabe A (1984) A case of graft aneurysm post axillo-femoral bypass (in Japanese). Nippon Rinshou Geka Igakkai Zasshi (J Jpn Soc Clin Surg) 45:239
Akimoto N, Kawachi K, Tamura K, Hakojima A, Shimizu T, Murakoshi S, Ishimaru S, Koike S, Furukawa K, Takahashi M (1986) A case of graft aneurysm of obturator bypass due to mechanical fatigue (in Japanese). Nippon Rinshou Geka Igakkai Zasshi (J Jpn Soc Clin Surg) 47:1115
Nakajima J, Ikegami T, Ishihara T, Murakami K, Morimoto K (1986) A false aneurysm caused by the rupture of double velour Dacron graft. A case report (in Japanese with English abstract). Nippon Geka Gakkai Zasshi (J Jpn Surg Soc) 87:921–925
Takenaka H, Esato K, Akimoto F, Fujioka K, Kawachi Y, Nakamura K, Nishiyama T (1988) Pseudoaneurysm due to rupture of Dacron graft (in Japanese with English abstract). Nippon Rinshou Geka Igakkai Zasshi (J Jpn Soc Clin Surg) 49:2024–2027
Moriyama M, Sakaguchi Y, Ito F, Chiba T, Okudaira Y, Ayabe K (1988) A case of graft aneurysm after F-P bypass 6 years previously (in Japanese with English abstract). Nippon Rinshou Gaka Igakkai Zasshi (J Jpn Soc Clin Surg) 49:731–734
Kamiya K, Yamaguchi H, Tsuji Y, KatsukiY, Yasuda T, Nishimura A, Muranaga S (1989) A case of nonanastomotic Dacron graft aneurysm (in Japanese). Hokkaido Geka Zasshi (Hokkaido J Surg) 34:148
Tsubaki M, Matsumoto K, Kikutsuji T, Shiba K, Kameoka Y, Matsunaga H, Ashizuka S, Ishikawa M, Ogasawara E (1990) A case of pseudoaneurysm due to rupture of the Dacron graft (in Japanese). Ehime Igaku 9 (Ehime Med J):896
Sasaki S, Yoshida H, Kamohara Y, Ito T, Nakagawa A, Sayama J, Nakajima Y, Kuritani Y, Maeyama T, Hirano T (1990) A case of nonanastomotic Dacron graft aneurysm (in Japanese). Nippon Kyobu Geka Igakkai Zasshi (J Jpn Soc Thorc Surg) 38:919
Mori A, Eguchi H, Sakata H, Aso M, Imamura S, Hamada T (1991) A case of pseudoaneurysm due to rupture of the Dacron graft (in Japanese with English abstract). Nippon Rinshou Geka Igakkai Zasshi (J Jpn Soc Clin) 52:199–202
Umezawa H, Negishi N, Niino N, Maeda H, Suzuki K, Haga N, Sezai A, Chiku N, Yamada H, Ohata M, Sezai Y (1992) A case of the Dacron graft aneurysm (abstract; in Japanese). Geka Shudankai 745:39
Okamoto J, Sasaki S, Asada K, Kodama T, Morita M, Takeuchi A (1993) Aneurysm of an Axillo-Femoral Dacron arterial graft occuring twelve years after implantation (in Japanese with English abstract). Jpn J Vase Surg 2:107–113
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Han, I., Shigematsu, H., Nunokawa, M. et al. Nonanastomotic Aneurysm Formation in a Dacron Arterial Graft: report of a Case. Surg Today 24, 1007–1010 (1994). https://doi.org/10.1007/BF02215815
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DOI: https://doi.org/10.1007/BF02215815