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Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring
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Triplex vascular prostheses elongation in post-operative course.

Masahiko Narita1, Tomonori Shirasaka1, Ryohei Ushioda1

  • 1Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.

Journal of Surgical Case Reports
|October 26, 2022
PubMed
Summary

Two cases of Triplex vascular graft elongation occurred post-operatively, leading to serious complications like artery occlusion and aortic pseudoaneurysm. This highlights the need for careful monitoring of these prostheses.

Keywords:
Triplexgraft elongationpost-operative managementthoracic aortic surgeryvascular prosthesis

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Area of Science:

  • Vascular surgery
  • Biomaterials science
  • Medical device engineering

Background:

  • Triplex grafts are novel vascular prostheses featuring a non-biodegradable coating.
  • These grafts are designed to potentially minimize post-operative inflammatory responses.

Observation:

  • Two instances of Triplex graft elongation were observed post-surgery.
  • These elongations led to significant vascular complications.

Findings:

  • One case involved left subclavian artery occlusion due to graft elongation.
  • The second case presented with an ascending aorta pseudoaneurysm stemming from graft elongation.
  • Limited adhesion formation, potentially due to graft instability and inadequate fixation, may contribute to elongation.

Implications:

  • Graft elongation in Triplex prostheses can result in severe vascular events.
  • Close post-operative surveillance of Triplex grafts is crucial.
  • Further research into graft fixation and stability may be warranted to prevent complications.