Document Detail


Severe late complications after operative correction of aortic coarctation by interposition of prosthesis.
MedLine Citation:
PMID:  7085738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Out of 198 patients with aortic coarctation who were operated on with the implantation of an orthotopic bypass vascular prosthesis, 7 developed severe late complications 9-20 years postoperatively with late anastomosis dehiscence which resulted either in acute rupture and sudden death from massive hemorrhage (2 patients) or in false aneurysms with or without delayed rupture. Reoperation was done in 4 patients. After elective reoperation 2 of 3 patients survived, one elective and one emergency case died. The only evident reason for the late suture disruption was complete absorption of polyamide suture material in 6 cases. Therefore all patients with polyamide-sutured anastomosis should be followed-up thoroughly even in the late postoperative period in order to detect indications for elective reoperation. Suture material for anastomosis with any prosthesis must be nonabsorbable for lifetime.
Authors:
K Emmrich; M Herbst; H Trenckmann; H G Schulz; B Wohlgemuth
Related Documents :
9183728 - Periprosthetic leaks and valve dehiscence: alternative methods of repair.
19754678 - Total arch replacement with stented elephant trunk technique: a proposed treatment for ...
12440668 - Single-stage reoperative repair of chronic type a aortic dissection using the arch-firs...
10678388 - Repeated thrombolysis in multiple episodes of obstructive thrombosis in prosthetic hear...
22998718 - Early management of severe traumatic brain injury.
17885818 - Latzko repair for vesicovaginal fistula revisited in the era of minimal-access surgery.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  23     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1982 May-Jun
Date Detail:
Created Date:  1982-08-26     Completed Date:  1982-08-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  205-8     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Dissecting / etiology
Aorta / surgery*
Aortic Aneurysm / etiology
Aortic Coarctation / surgery*
Aortic Rupture / etiology
Blood Vessel Prosthesis / adverse effects*,  mortality
Female
Humans
Postoperative Complications
Surgical Wound Dehiscence / etiology
Sutures

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


Previous Document:  A new revascularization procedure for extensive arterial occlusions of lower extremity. A.V shunt pr...
Next Document:  Cardiogenic embolism of the upper extremity.