Abstract
Proximal suture line disruption is one of the severe complications of syn thetic vascular grafting for arteriosclerotic aortic disorders. The pathology of clinical and experimental cases revealed that a small bite of each stitch cut into the host aorta and became disrupted. Making each stitch as large as possible in the host aorta is the first procedural choice for aortic replacement surgery. Protecting the anastomotic line with a synthetic mesh cloth wrapping is prefer able.
Get full access to this article
View all access options for this article.
References
1.
Clator, H.
, et al.: Suture line rupture of nylon aortic bifurcation graft into small bowel . Arch. Surg. , 73 : 947 -950 , 1956 .
2.Case record of the Massachusetts General Hospital (Case #45282) N. Engl. J. Med. , 261 : 92 -96 , 1959 .
3.
Crawford, E.S.
, et al.: Evaluation of late graft failures after reconstructive operations for occlusive lesions of the aorta and iliac, femoral and popliteal arteries . Surgery , 47 : 79 -104 , 1960 .
4.
Cordell, A.R.
,
Wright, R.J.
,
Johnston, F.R.
: Gastrointestinal hemorrhage after abdominal aortic operations . Surgery , 48 :997 -1005 , 1960 .
5.
Smith, R.F.
,
Szilagyi, D.E.
: Healing complications with plastic arterial implants . Arch. Surg. , 82 : 14 -24 , 1961 .
6.
Javid, H.
, et al.: Complications of abdominal aortic grafts . Arch. Surg. , 85 : 650 -662 , 1962 .
7.
Humphries, A.W.
, et al.: Complication of abdominal aortic surgery . Arch. Surg. , 86 : 43 -50 , 1963 .
8.
Baird, F.J.
,
Doran, M.L.
: The false aneurysm . Can. Med. Assoc. J. , 91 : 281 -284 , 1964 .
9.
Stoney, R.J.
,
Albo, R.J.
,
Wylie, E.J.
: False aneurysms occurring after arterial grafting operations . Am. J. Surg. , 110 : 153 -161 , 1965 .
10.
Levy, M.J.
, et al.: Aorticointestinal fistulas following surgery of the aorta . Surg. Gynecol. Obstet. , 120 : 992 -996 , 1965 .
11.
Olsen, W.R.
,
DeWeese, M.S.
,
Fry, W.J.
: False aneurysm of abdominal aorta . Arch. Surg. , 92 : 123 -130 , 1966 .
12.
Sumner, D.S.
,
Strandness, D.E.
: False aneurysms occurring in association with thrombosed prosthetic grafts . Arch. Surg. , 94 : 360 -362 , 1967 .
13.
Sawyers, J.L.
,
Jacobs, J.K.
,
Sutton, J.P.
: Peripheral anastomotic aneurysms—Devel— opment following arterial reconstruction with prosthetic grafts . Arch. Surg. , 95 : 802 -809 , 1967 .
14.
Spratt, E.M.
,
Doran, M.J.
,
Baird, R.J.
: False aneurysms in the lower extremity . Surg. Gynecol. Obstet. , 124 : 562 -566 , 1967 .
15.
Cohn, R.
,
Angell, W.W.
: Late complications from plastic replacement of aortic abdominal aneurysms . Arch. Surg. , 97 : 696 -698 , 1968 .
16.
Peters, R.M.
,
Johnson, G.
: A simple method of reinforcing arterial anastomoses . Surg. Gynecol. Obstet. , 117 : 363 -364 , 1963 .