| Anastomotic aneurysms: facts and fancy. | |
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MedLine Citation:
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PMID: 2408168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred and one anastomotic aneurysms were encountered in 74 patients over a 25-year period (1963 through 1988). Ninety-three anastomotic aneurysms (92 percent) were prosthesis-related, one followed a thromboendarterectomy, and seven (para-anastomotic aneurysms) occurred after the use of venous grafts. In the prosthesis-related anastomotic aneurysms, 50 percent of the patients had multiple anastomotic aneurysms. Most anastomotic aneurysms occurred at the femoral region (70.9 percent), but no suture line was immune. The most common cause of the anastomotic aneurysms was a defect in the host artery (90.2 percent), followed by suture failure (4.9 percent), and prosthetic failure (4.9 percent). Although most anastomotic aneurysms appeared about 5 years postoperatively, they may develop at any time. The early appearance of an anastomotic aneurysm (within 2 years) suggests infection as a cause. Because the incidence of complications of anastomotic aneurysms is high, regular follow-up assessment of all anastomoses is desirable. It is postulated that prostheses by virtue of their unphysiological characteristics cause abnormal stresses at the suture line leading to weakness of the host artery. |
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Authors:
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H Gaylis; G Dewar |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Surgery annual Volume: 22 ISSN: 0081-9638 ISO Abbreviation: Surg Annu Publication Date: 1990 |
Date Detail:
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Created Date: 1990-04-12 Completed Date: 1990-04-12 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0221302 Medline TA: Surg Annu Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 317-41 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical* Aneurysm / etiology* Aortic Aneurysm / surgery Arterial Occlusive Diseases / surgery Blood Vessel Prosthesis / adverse effects*, instrumentation Compliance Endarterectomy Equipment Failure Humans Postoperative Complications / etiology* Sutures / adverse effects, standards |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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