True aneurysm of Dacron graft 33 years after surgery

Dacron grafts have been used as a conduit for large calibre arteries for many years successfully. However, these grafts can undergo complications such as aneurysm formation, rupture, and failure [1]. We report an unusual complication of a Dacron graft in a 45-year-old woman who had undergone extra-anatomical bypass for Takayasu aorto-arteritis aged 12 years. She presented with pain and pulsatile swelling in the left hypochondrium. Imaging confirmed huge fusiform aneurysm of Dacron graft involving all of its length. She underwent median sternotomy with laparotomy to replace aneurysmal graft with new Dacron graft.