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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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Accepted: May 5, 1972
© 1972 Published by Elsevier Inc.