Disruption of the vascular prosthesis caused by aortic calcification after replacement of the thoracoabdominal aortic aneurysm

被引：10

作者：

Tanaka, Hiroshi ^{[1
]}

Okada, Kenji ^{[1
]}

Yamashita, Teruo ^{[1
]}

Kawanishi, Yujiro ^{[1
]}

Matsumori, Masamiti ^{[1
]}

Okita, Yutaka ^{[1
]}

机构：

[1] Kobe Univ Hosp, Dept Cardiovasc Thorac & Pediat Surg, Chuo Ku, Kobe, Hyogo 6500017, Japan

来源：

ANNALS OF THORACIC SURGERY | 2006年 / 82卷 / 03期

关键词：

D O I：

10.1016/j.athoracsur.2006.01.040

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 52-year-old man underwent a replacement of the thoracoabdominal aorta. The aorta was severely calcified, and was replaced by a 24-mm woven Dacron (Vascutek, Renfrewshire, Scotland) graft wrapped with the calcificated aneurysmal wall. His postoperative course was uneventful; however, he collapsed on the 18th postoperative day. He underwent an emergent thoracotomy and the wrapped aneurysmal wall was taken down. The prosthesis graft had a 1-mm disruption in the middle portion, which did not relate to the anastomoses. Experimental study ex vivo showed that disruption of the prosthesis could have occurred after a 3-week pulsatile force caused by a seashell simulating aortic calcification.

引用

页码：1097 / 1099

页数：4