Adolescent External Iliac Artery Trauma: Recurrent Aneurysmal Dilatation of an Iliofemoral Saphenous Vein Graft Treated by Stent-Grafting
- 85 Downloads
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.
KeywordsVein graft Aneurysm Stent-graft
- 3.Milas Zl, Dodson TF, Ricketts RR (2004) Paediatric blunt trauma resulting in major arterial injuries. Am Sur 70:443–447Google Scholar
- 10.Park S, Won J, Kim et al (2005) The arterial folding point during flexion of the hip joint. CardioVasc Interv Radiol 28:173–175Google Scholar
- 12.Peer UM, Upson JF (1990) Aneurysmal dilatation in saphenous vein bypass grafts. J Cardiovasc Surg 31:668–671Google Scholar
- 15.WL Gore and Associates, Inc (2003) Product information. July 2003Google Scholar