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Late aneurysm formation in a femoro-popliteal polytetrafluoroethylene graft

  • Cardiovascular radiology
  • Published:
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Abstract.

Since improvement in the material, true aneurysms and pseudoaneurysm formations have become relatively rare complications after femoro-popliteal reconstruction with polytetrafluoroethylene (PTFE) grafts. We report a case of late graft rupture and pseudoaneurysm formation within the straight femoral part of a femoro-popliteal bypass with reinforced (PTFE-wrapped) Gore-Tex graft. The rupture occurred 7 years after implantation without history of direct traumatization. Intraoperatively the whole bypass showed macro- and microscopically visible deterioration of the wall with almost complete disruption at the site of the aneurysm. The graft had to be replaced completely. In conclusion, we recommend continuous long-term follow-up of these patients preferably with duplex ultrasonography.

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Authors and Affiliations

  1. Klinik für Diagnostische Radiologie der Christian-Albrechts-Universität zu Kiel, Arnold-Heller-Strasse 9, D-24105 Kiel, Germany, , , , , , DE

    J. Biederer, S. Müller-Hülsbeck & M. Heller

  2. Klinik für Herz- und Gefäßchirurgie der Christian-Albrechts-Universität zu Kiel, Arnold-Heller-Strasse 7, D-24105 Kiel, Germany, , , , , , DE

    J. R. Loose

Authors
  1. J. Biederer
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  2. S. Müller-Hülsbeck
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  3. J. R. Loose
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  4. M. Heller
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Additional information

Received: 10 December 1998; Revision received: 29 March 1999; Accepted: 31 March 1999

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Biederer, J., Müller-Hülsbeck, S., Loose, J. et al. Late aneurysm formation in a femoro-popliteal polytetrafluoroethylene graft. Eur Radiol 9, 1678–1681 (1999). https://doi.org/10.1007/s003300050909

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  • DOI: https://doi.org/10.1007/s003300050909

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