Abstract
We treated a Japanese man with aneurysmal dilatation of the bovine graft transplanted for femorofemoral bypass. The reconstruction was performed successfully by the replacement with a Dacron graft 29 months after the first operation. Aneurysmal dilatation was observed over the entire length of the graft, and the wall of the graft was fragile. Disruption of collagen fibers and bleeding into the graft wall from the arteries which had been newly formed in abundance were extensive. The histological findings suggested that bovine grafts should be used for only a short period or for the replacement of small arteries.
Similar content being viewed by others
References
Hutchin, P., Jacobs, J.R., Devin, J.B., Shaughessy, S. and Roland, A.S.: Bovine graft arteriovenous fistulas for maintenance hemodialysis. Surg. Gynecol. Obstet. 141: 255–258, 1975.
Spees, E.K. Jr., Oakes, D.D., Light, J.A., Perloff, L.J. and Reckard, C.R.: Successful renal vein reconstruction with bovine arterial heterografts. Ann. Surg. 186: 749–751, 1977.
Ferris, E.B. and Cranley, J.J.: Use of umbilical vein graft as an arterial substitute. Arch. Surg. 114: 694–697, 1979.
Hirsch, S.A.: Arterial reconstruction of the lower limbs using stabilized umbilical vein. Vasc. Surg. 14: 168–174, 1980.
Rubio, P. and Farrell, E.M.: Maintenance hemodialysis with modified human umbilical vein graft angioaccess. Vasc. Surg. 14: 186–191, 1980.
Silver, G.M. and Katske, G.E.: Clinical experiences with the stabilized human umbilical vein in coronary bypass surgery. Vasc. Surg. 14: 192–196, 1980.
Dale, W.A. and Lewis, M.R.: Further experiences with bovine arterial grafts. Surgery 80: 711–721, 1976.
Dardik, H., Ibrahim, I.M., Sussman, B., Kahn, M., Israel, M. and Dardik, I.: Technical factors in the use of glutaraldehyde-tanned umbilical vein prosthesis for vascular reconstruction in the lower extremity. Vasc. Surg. 15: 51–60, 1981.
Berger, K. and Sauvage, L.R.: Late fiber deterioration in Dacron arterial grafts. Ann. Surg. 193: 477–491, 1981.
Hayward, R.H. and Korompai, F.L.: Degeneration of knitted Dacron grafts. Surgery 79: 581–583, 1976.
Nunn, D.B., Freeman, M.H. and Hudgins, P.C.: Postoperative alterations in size of Dacron aortic grafts. Ann. Surg. 189: 741–745, 1979.
Mohaideen, A.H., Mendivil, J., Avram, M.M. and Mainzer, R.A.: Arteriovenous access utilizing modified bovine arterial grafts for hemodialysis. Ann. Surg. 186: 643–650, 1977
Dardik, H., Ibrahim, I.M., Sussman, B., Turner, R.J., Israel, M., Kahn, M. and Dardik, I.: Clinical and morphologic assessment of longterm human umbilical cord vein implants empolyed as vascular conduits. Vasc. Surg. 14: 175–185, 1980.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakata, Y., Hayakawa, N., Nakagami, K. et al. Late changes in a bovine graft. The Japanese Journal of Surgery 12, 368–371 (1982). https://doi.org/10.1007/BF02469637
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02469637