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CardioVascular and Interventional Radiology

, Volume 31, Issue 5, pp 1018–1022 | Cite as

Adolescent External Iliac Artery Trauma: Recurrent Aneurysmal Dilatation of an Iliofemoral Saphenous Vein Graft Treated by Stent-Grafting

  • James Lenton
  • John Davies
  • S. Homer-Vanniasinkam
  • Simon McPhersonEmail author
Case Report

Abstract

An adolescent male sustained a severe penetrating injury to the external iliac artery. Emergency surgical revascularization was with a reversed long saphenous vein interposition graft. The primary graft and the subsequent revision graft both became aneurysmal. The second graft aneurysm was successfully excluded by endovascular stent-grafts with medium-term primary patency. A venous graft was used initially rather than a synthetic graft to reduce the risk of infection and the potential problems from future growth. Aneurysmal dilatation of venous grafts in children and adolescents is a rare but recognized complication. To the best of our knowledge, exclusion of these aneurysms with stent-grafts has not been previously reported in the adolescent population.

Keywords

Vein graft Aneurysm Stent-graft 

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • James Lenton
    • 1
  • John Davies
    • 2
  • S. Homer-Vanniasinkam
    • 2
  • Simon McPherson
    • 1
    • 3
    Email author
  1. 1.Department of Vascular RadiologyLeeds General InfirmaryLeedsUK
  2. 2.Leeds Vascular InstituteLeeds General InfirmaryLeedsUK
  3. 3.c/o Main X-ray Secretaries, Main X-ray DepartmentLeeds General InfirmaryLeedsUK

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