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[Infra-inguinal suture aneurysm]

P Alevizacos1, W Hepp

  • 1Universitätsklinikum Rudolf Virchow/Standort Charlottenburg.

VASA. Zeitschrift Fur Gefasskrankheiten
|January 1, 1994
PubMed
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Anastomotic aneurysms, a complication of vascular surgery, often occur in the groin. Early surgical repair of these infrainguinal aneurysms offers good long-term results with low risk.

Area of Science:

  • Vascular Surgery
  • Surgical Complications

Background:

  • Anastomotic aneurysms are late complications following vascular reconstructive surgery.
  • These aneurysms most commonly occur in the inguinal region.

Purpose of the Study:

  • To evaluate the outcomes of surgical repair for infrainguinal anastomotic aneurysms.
  • To assess the risks and long-term results of treating inguinal anastomotic aneurysms.

Main Methods:

  • Retrospective analysis of 40 patients operated for 50 infrainguinal anastomotic aneurysms between 1975 and 1989.
  • Standard treatment involved excision and prosthetic graft interposition, with distal anastomosis to the deep femoral artery.
  • Infected aneurysms were managed with extra-anatomic bypass procedures.

Main Results:

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  • A mean interval of 60.6 months elapsed between initial surgery and aneurysm development.
  • Complications included bilateral aneurysms (9 cases), infected aneurysms (3 cases), one amputation, and one recurrent aneurysm.
  • Five patients died postoperatively.

Conclusions:

  • Surgical repair of anastomotic aneurysms is recommended before complications arise.
  • Inguinal anastomotic aneurysms can be treated with low risk and favorable long-term outcomes.