Document Detail

Intermittent aortic-graft obstruction secondary to anastomotic aneurysms.
MedLine Citation:
PMID:  7283719     Owner:  NLM     Status:  MEDLINE    
Diagnosis of anastomotic aneurysms is usually suggested by simple palpation of a pulsatile mass on physical examination. Diagnosis may be more difficult, and clinical appearance more unusual, for those aneurysms occurring in an intra-abdominal location. This article reports an unusual manifestation of bilateral iliac-artery false aneurysms, ie, intermittent obstruction of aortic-graft blood flow. Femoral pulses were absent and significant peripheral ischemia present with the patient's legs extended. Femoral pulses returned to normal with the patient's legs flexed. Perianastomotic fibrosis, the mass effect of the false aneurysms, and possible kinking of the partially disrupted suture line with tensing of the psoas muscle on extension of the legs are possible causes of the intermittent obstruction to blood flow. The varied clinical manifestations and general principles of operative repair of anastomotic aneurysms are described.
C J McCabe; D C Brewster; R C Darling
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  116     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1981 Sep 
Date Detail:
Created Date:  1981-11-22     Completed Date:  1981-11-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1206-8     Citation Subset:  AIM; IM    
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MeSH Terms
Aneurysm / etiology*
Aorta, Abdominal / radiography
Aortic Diseases / surgery*
Arterial Occlusive Diseases / diagnosis,  surgery*
Blood Vessel Prosthesis*
Iliac Artery*
Ischemia / etiology
Leg / blood supply
Middle Aged
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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