Vasc Spec Int.  2019 Dec;35(4):241-244. 10.5758/vsi.2019.35.4.241.

Late Non-Anastomotic Rupture of a Bifurcated Dacron Aortic Graft Treated Using a Gore Excluder Limb Endoprosthesis

• Agostinucci A
• Data S
• Pagliasso

• KMID: 2469225
• DOI: http://doi.org/10.5758/vsi.2019.35.4.241

Abstract

Dacron vascular prostheses have been widely used in vascular surgery since the mid-1970s. They have been proven to be the most durable and reliable conduits for arterial replacement in aortic and peripheral surgeries for decades. However, an extremely rare complication, namely late non-anastomotic graft rupture, due to intrinsic structural prosthetic disruption can occur, resulting in acute hemorrhage or false aneurysm formation. We report a case of this rare complication due to non-anastomotic rupture of a bifurcated knitted Dacron aortic vascular graft in a patient who had undergone an aorto-bi-iliac bypass 6 years ago. The patient was successfully treated in an emergency setting with endovascular therapy using an iliac limb of an abdominal aortic endoprosthesis.

Keyword

Non-anastomotic rupture; Dacron graft; Endoprosthesis; Gore excluder

MeSH Terms

Aneurysm, False
Blood Vessel Prosthesis
Emergencies
Extremities*
Hemorrhage
Humans
Polyethylene Terephthalates*
Rupture*
Transplants*
Polyethylene Terephthalates