AORTIC STUMP DEHISCENCE RESULTING IN FALSE ANEURYSM AFTER REMOVAL OF INFECTED AORTIC GRAFT – SURGICAL REPAIR WITH FASCIA LATA DOES NOT GUARANTEE HEALING

Sadettin Karacagil, M.D,Phd, Anders Holmberg, M.D, Bo Westman, M.D, David Bergqvist, M.D, Phd.
Department of Surgery, University Hospital,
Uppsala, Sweden

The most serious prosthetic vascular graft complication in the aortic position is infection. Several surgical alternatives in dealing with infected aortic grafts have been reported and one of the most accepted operative strategies is the removal of the aortic graft, closure of the aortic stump and lower limb revascularization with an axillobifemoral bypass. Aortic stump dehiscence with blowout is a rare but life-threatening complication both in the early and late postoperative period. In this report we describe an aortic stump dehiscence resulting in a large false aneurysm formation which was successfully repaired and reinforced using fascia lata which has been suggested by Krakovskii et al. This is unfortunately, however, not a guarantee against recurrence.

P. 120-122

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