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Abstract
This case report illustrates the value of axillofemoral bypass and the gratifying
result which can be achieved with this procedure. A false aneurysm of the midportion
of an axillofemoral graft has not been reported previously. In general, false aneurysms
occur at the site of vascular anastomoses as a complication of infection or local
hemorrhage. It is unlikely that the cause of the perforation of the Dacron graft-in
this case was damage to it at the time of operation, nearly two years earlier. Nevertheless,
it should be realized that when one performs counter incisions and tunnels the graft
subcutaneously along the chest wall, too vigorous manipulation of the graft may result
in a tear. Alternative explanations for the occurrence of this aneurysm are a flaw
in the graft fabric or fabric erosion by the constant pulsatile motion of the graft
as it crosses over a bony prominence.
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References
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Article info
Publication history
Accepted:
May 5,
1972
Identification
Copyright
© 1972 Published by Elsevier Inc.
