Document Detail

Anastomotic pseudoaneurysm occurred at long time after surgery for atherosclerotic thoracic aortic aneurysm.
MedLine Citation:
PMID:  15077851     Owner:  NLM     Status:  MEDLINE    
We encountered two cases of ruptured anastomotic pseudoaneurysms 47 and 77 months after surgery for atherosclerotic thoracic aortic aneurysms. Autopsy was performed in one case and emergency re-operation was performed in the other case. We gained some interesting findings in the autopsy and the re-operation. The anastomotic sites were sustained by sutures only, and there was no evidence of tissue supplementation at the anastomotic sites in macroscopic observation. Microscopic findings demonstrated endothelium healing on the internal side of the prosthesis near the anastomotic site. There was no tissue connection between the prostheses and the native aortic walls, although over four or six years had passed after the previous anastomoses. Anastomotic pseudoaneurysms may occur even in a long time after surgery. Careful operative procedures and long-term computed tomography or magnetic resonance imaging follow-up are crucial.
Ichiya Yamazaki; Tamitaro Soma; Norihisa Karube
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  52     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-04-13     Completed Date:  2004-05-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  152-4     Citation Subset:  IM    
Division of the Cardiovascular Surgery, Saiseikai Yokohama-shi Nanbu Hospital, 3-2-10 Konandai, Konan-ku, Yokohama 234-8503, Japan.
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MeSH Terms
Anastomosis, Surgical
Aortic Aneurysm, Thoracic / etiology*,  surgery*
Arteriosclerosis / surgery*
Blood Vessel Prosthesis Implantation
Postoperative Complications*

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