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KMID : 1037520190350040241
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Vascular Specialist International
2019 Volume.35 No. 4 p.241 ~ p.244
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Late Non-Anastomotic Rupture of a Bifurcated Dacron Aortic Graft Treated Using a Gore Excluder Limb Endoprosthesis
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Agostinucci Andrea
Data Stefano
Pagliasso Elisa
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Abstract
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Dacron vascular prostheses have been widely used in vascular surgery since the mid-1970s. They have been proven to be the most durable and reliable conduits for arterial replacement in aortic and peripheral surgeries for decades. However, an extremely rare complication, namely late non-anastomotic graft rupture, due to intrinsic structural prosthetic disruption can occur, resulting in acute hemorrhage or false aneurysm formation. We report a case of this rare complication due to non-anastomotic rupture of a bifurcated knitted Dacron aortic vascular graft in a patient who had undergone an aorto-bi-iliac bypass 6 years ago. The patient was successfully treated in an emergency setting with endovascular therapy using an iliac limb of an abdominal aortic endoprosthesis.
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KEYWORD
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Non-anastomotic rupture, Dacron graft, Endoprosthesis, Gore excluder
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