Document Detail

Traumatic fracture of polytetrafluoroethylene axillofemoral bypass graft.
MedLine Citation:
PMID:  20034944     Owner:  NLM     Status:  MEDLINE    
We report traumatic disruption of a ringed polytetrafluorethylene (PTFE) axillofemoral bypass (AFB) graft due to a fall. We also review the literature of previously reported blunt traumatic PTFE graft disruptions. A 75-year-old man with previous bilateral AFB grafting presented with a painful left chest wall mass after a fall from standing height. Chest computed tomography (CT) revealed a large chest wall hematoma. The patient underwent evacuation of the hematoma, resection of the fractured graft, and placement of an interposition PTFE graft. Two prior case reports have documented the midportion PTFE graft disruption from blunt trauma. Our case report demonstrates the potential for disruption of the midportion of ringed PTFE AFB grafts with direct blunt trauma. The diagnosis was confirmed by CT scan and the graft was successfully repaired with an interposition graft.
Nicholas J Kitowski; Sigurd B Gundersen
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-12-23
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-3     Citation Subset:  IM    
Department of Medical Education, Gundersen Lutheran Medical Foundation, La Crosse, Wisconsin, USA.
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MeSH Terms
Accidental Falls*
Axillary Artery / surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects,  instrumentation*
Device Removal
Femoral Artery / surgery*
Hematoma / etiology
Prosthesis Design
Prosthesis Failure*
Rib Fractures / etiology
Thoracic Injuries / etiology*,  radiography,  surgery
Tomography, X-Ray Computed
Reg. No./Substance:

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

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