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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 3/2018

01-07-2018 | Case report

True aneurysm of Dacron graft 33 years after surgery

Authors: Swapnil Fuladi, Dhanesh Kamerkar, Sudhir Bhate, Aniruddha Dhekne

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 3/2018

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Abstract

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.
Literature
1.
Ali AAM, Sharma P, Rege RN, Rajesh S, Nadhamuni K. Dacron graft aneurysm with dissection. Indian J Radiol Imaging. 2016;26:472–4.
2.
Nagano N, Cartier R, Zigras T, Mongrain R, Leask RL. Mechanical properties and microscopic findings of a Dacron graft explanted 27 years after coarctation repair. J Thorac Cardiovasc Surg. 2007;134:1577–8.CrossRefPubMed
3.
Etz CD, Homann T, Silovitz D, et al. Vascular graft replacement of the ascending and descending aorta: do Dacron grafts grow? Ann Thorac Surg. 2007;84:1206–13.CrossRefPubMed
4.
Kim GE, Imparato AM, Nathan I, Riles TS. Dilation of synthetic grafts and junctional aneurysms. Arch Surg. 1979;114:1296–303.CrossRef
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Berger K, Sauvage LR. Late fiber deterioration in Dacron arterial grafts. Ann Surg. 1981;193:477–91.
6.
Noorani A, Ng C, Gopalan D, Dunning J. Haemoptysis from a Dacron graft aneurysm 21 years post repair of coarctation of the aorta. Interact Cardiovasc Thorac Surg. 2011;13:91–3.
Metadata
Title
True aneurysm of Dacron graft 33 years after surgery
Authors
Swapnil Fuladi
Dhanesh Kamerkar
Sudhir Bhate
Aniruddha Dhekne
Publication date
01-07-2018
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue 3/2018
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-017-0580-4

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