Disruption in the non-anastomotic section of an axillofemoral bypass is a rare occurrence. In this report, we consider a patient who presented with a pseudoaneurysm in the non-anastomotic section of his axillofemoral bypass due to blunt trauma to the chest after a fall. Clinical presentation, management, treatment, and complications related to our case are discussed.
BlaisdellFWHallAD. Axillary-femoral artery bypass for lower extremity ischemia. Surgery. 1963;54:563-568.
2.
AngleNDorafsharAHFarooqMM, et al.. The evolution of the axillofemoral bypass over two decades. Ann Vasc Surg. 2002;16:742-745.
3.
TaylorLMParkTCEdwardsJM, et al.Acute disruption of polytetrafluoroethylene grafts adjacent to axillary anastomoses: A complication of axillofemoral grafting. J Vasc Surg. 1994;20:520-526.
4.
Valverde GarcíaSPeña CortésRTorre EirizJGarcía-CenadorMBLozano SánchezFS. Disruption in ‘nonanastomotic section’ of an axillofemoral bypass: a thorough critical review of the literature. Ann Vasc Surg. 2017;45:299-304.
5.
CorbettCRRTaylorPRChilversASEdwardsJM. Patency of axillofemoral grafts. Br J Surg. 1983;70:699-700.
6.
PassmanMATaylorLMMonetaGL, et al.Comparison of axillofemoral and aortofemoral bypass for aortoiliac occlusive disease. J Vasc Surg. 1996;23:263-269. discussion 269-271.
7.
LeonLRMillsJL. Diagnosis and management of aortic mycotic aneurysms. Vasc Endovascular Surg. 2010;44:5-13.
8.
ChouseinSYukselVGeldiOCanbazS. A rare complication after axillofemoral bypass operation: disruption of the proximal anastomosis: single case after 12 years’ experience in extra-anatomic bypass surgery. Vascular. 2014;22:206-208.
JohnsonWCLeeKK. Comparative evaluation of externally supported Dacron and polytetrafluoroethylene prosthetic bypasses for femorofemoral and axillofemoral arterial reconstructions. Veterans Affairs Cooperative Study #141. J Vasc Surg. 1999;30:1077-1083.
11.
ShibutaniSObaraHKakefudaTKitagawaY. Nonanastomotic pseudoaneurysm with complete disruption of an expanded polytetrafluoroethylene axillofemoral bypass graft. Ann Vasc Surg. 2012;26:e9-e12.
OnoeMWataridaSSugitaT, et al.Disruption of the expanded polytetrafluoroethylene (EPTFE) graft of axillofemoral by-pass. J Cardiovasc Surg. 1994;35:165-168.
14.
LotunKSchainfeldRMRazviS, et al.An unusual late complication of axillobifemoral bypass graft: a case report. Ann Vasc Surg. 2006;20:830-833.
GrochowRMRaffettoJD. Chronic traumatic pseudoaneurysm of polytetrafluoroethylene axillofemoral bypass graft in a quadriplegic patient. Ann Vasc Surg. 2008;22:688-691.
17.
MousaAYNanjundappaAAbu-HalimahSAburahmaAF. Traumatic nonanastomotic pseudoaneurysm of axillofemoral bypass graft: a case report and review of the literature. Vasc Endovascular Surg. 2013;47:57-60.
