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2013 | 85 | 4 | 181-191
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Anastomotic aneurysms- 20-years of experience from one center

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Anastomotic aneurysms may develop after any type of vascular surgery, in different areas of the arterial system, and require reoperation. The frequency of occurrence of the above-mentioned is estimated at 1-5%.Material and methods. During the period between 1989 and 2010, 180 patients with 230 anastomotic aneurysms were subject to surgical intervention at the Department of General and Thoracic Surgery, Warsaw Medical University. The study group comprised 21 (11.7%) female and 159 (88.3%) male patients, aged between 30 and 87 years (mean age - 62.8 years). In relation to the number of anastomoses aneurysms were diagnosed in 2.1% of cases. Twenty-four (10.4%) patients were diagnosed with recurrent aneurysms.Results. Surgical procedures performed were as follows: artificial prosthesis implantation (119), reanastomosis (40), patch plasty (25), graftectomy (19), prosthesis replacement (9), and stent-graft (7) implantation. 195 (84.8%) aneurysms were subject to planned surgery, while 35 (15.2%) required emergency intervention.77.8% of patients were diagnosed with aseptic aneurysms, while the remaining 22.2% with infected perioperative aneurysms.Good treatment results were obtained in 149 (82.8%) patients. Limb amputations were performed in 19 (10.5%) cases. Twelve (6.7%) patients died as a consequence of infection and general complications.Conclusions. Vascular reoperations are a difficult clinical problem and are burdened with a high rate of complications. The above-mentioned often require complex treatment, in order to improve therapeutic results.
Physical description
1 - 04 - 2013
01 - 05 - 2013
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • Department of General and Thoracic Surgery, Warsaw Medical in University Kierownik: prof. dr hab. M. Skórski
  • 1. Kostewicz W : Badania nad tętniakami rzekomymi w zespoleniu dalszym protezy aortalno/biodrowo- udowej. Fundacja Polski Przegląd Chirurgiczny (t.10). Monografia, Warszawa 1998.
  • 2. Pogorzelski R , Wołoszko T , Szostek MM i wsp.: Tętniaki zespoleniowe w pachwinie - wyniki leczenia chirurgicznego. Pol Przegl Chir 2007; 79(10): 1143-56.
  • 3. Skourtis G , Bountouris I, Papacharalambous G et al.: Anastomotic aneurysms: our experience with 49 cases. Ann Vasc Surg 2006; 20(5): 582-89.[Crossref]
  • 4. Miyata T , Sato O , Deguchi J et al.: Anastomotic aneurysms after surgical treatment of Takayasu’s arteritis: a 40-year experience. J Vasc Surg 1998; 27(3): 438-45.[Crossref]
  • 5. Verhoeven EL, Muhs B E, Zeebregts CJ et al.: Fenestrated and branched stent-grafting after previous surgery provides a good alternative to open redo surgery. Eur J Vasc Endovasc Surg 2007; 33(1): 84-90.[WoS][Crossref]
  • 6. Madiba T E, Nair R , Mars M, Robbs J V: Anastomotic aneurysm following aortobifemoral by-pass. SA fr J Surg 2001; 39(3): 85-87.
  • 7. Demarche M, Waltregny D, van Damme H, LimetR: Femoral anastomotic aneurysms: pathogenic factors, clinical presentation and treatment. Astudy of 142 cases. Cardiovasc Surg 1999; 7(3): 315-22.[Crossref]
  • 8. Sharma NK, Chin KF, Modgill VK: Pseudoaneurysms of the femoral artery: recommendation for a method of repair. JR Coll Surg Edinb 2001; 46(4): 195-97.[PubMed]
  • 9. Sigala F, Georgopoulos S , Sigalas K et al.: Femoral anastomotic aneurysms in the modern era: a reappraisal of a continuing caallenge. MinervaChir 2006; 61(2): 95-101.
  • 10. Oderich GS , Panneton J M, Bower T C et al.: Infected aortic aneurysms: aggressive presentation, complication early outcome, but durable results. Vasc Surg 2001; 34(5): 900-08.[Crossref]
  • 11. Sessa C, Farah I, Magne J L et al.: Infected aneurysms of the infrarenal aorta: diagnostic criteria and therapeutic strategy. Ann Vasc Surg 1997; 11(5): 453-63.[Crossref]
  • 12. Gibbons CP, Ferguson CJ, Edwards K et al.: Use of superficial femoropopliteal vein for suprainguinal arterial reconstruction in the presence of infection. Br J Surg 2000; 87(6): 771-76.
  • 13. Chalmers RT , Wolfe J H, Cheshire NJ et al.: Improved management of infrainguinal by-pass graft infection with methicillin-resistant Staphylococcus aureus. Br J Surg 1999; 86(11): 1433-36.
  • 14. Vogt PR, Turina MI: Management of infected aortic grafts: development of less invasive surgery using cryopreserved homografts. Ann Thorac Surg 1999; 67(6): 1986-89.[Crossref][PubMed]
  • 15. Vogt PR, Brunner-LaRocca HP, Lachat M et al.: Technical details with the use of cryopreserved arterial allografts for aortic infection: influence on early and midterm mortality. J Vasc Surg 2002: 35(1): 80-86.
  • 16. Georgiadis GS , Lazarides MK, PolychronidisA, Simopoulos C: Surgical treatment of femoral artery infected false aneurysms in drug abusres. ANZ J Surg 2005; 75(11): 1005-10.[PubMed][Crossref]
  • 17. Tardito E, Caputo V, Mascheroni E et al.: Singular case of tardive anastomotic disjunction in a Dacron Rvascular graft. J Cardiovasc Surg 1994; 35(3): 243-48.
  • 18. Leurs L J , Bell R , Degrieck Y et al.: Endovascular treatment of thoracic aoric diseases: combined experience from the EUROSTAR and United Kingdom Thoracic Endograft registries. J Vasc Surg 2004; 40(4): 679-80.
  • 19. Stone DH, Brewster DC, Kwolek CJ et al.: Stentgraft versus open-surgical repair of the thoracic aorta: mid-term results. J Vasc Surg 2006; 44(6): 188-97.
  • 20. Kaya A , Heijmen R H, Overtoom TT et al.: Thoracic stent grafting for acute aortic pathology. AnnThorac Surg 2006; 82(2): 560-65.[Crossref]
  • 21. Cambria R P, Brewster DC, Lauterbach SR et al.: Evolving experience with thoracic aortic stent graft repair. J Vasc Surg 2002; 35(6): 1129-36.[Crossref]
  • 22. Ziegler P, Perdikides T P, Avgerinos ED et al.: Fenestreted and branched rgafts for para-anastomotic aortic aneurysm repair. J EndovascTher 2007; 14(4): 513-19.
  • 23. Morrissey NJ, Yano OJ , Soundararajan K et al.: Endovascular repair of para-anastomotic aneurysms of the oarta and iliac arteries: preferred treatment a complex problem. J Vasc Surg 2001; 34(3): 503-12.[Crossref]
  • 24. Gawenda M, Zaehringer M, Brunkwall J : Open versus endovascular repair of para-anastomotic aneurysms in patients who were morphological candidates for endovascular treatment. J EndovascTher 2003; 10(4): 745-51.[PubMed]
  • 25. Derom A , Nout E: Treatment of femoral pseudoaneurysms with endograft in high-risk patients. Eur J Vasc Endovasc Surg 2005; 30(6): 644-47.[Crossref][PubMed]
  • 26. Biolik G , Kuczmik W , Ziaja D, Glanowski M: Wewnątrznaczyniowe leczenie późnych powikłań pomostowania obwodowego - tętniak rzekomy zespolenia dystalnego. Opis przypadku. ChirurgiaPolska 2006; 8(3): 223-27.
  • 27. Criado E, Marston WA , Ligush J et al.: Endovascular repair of peripherial aneurysms, pseudoaneurysms, and arteriovenous fistulas. Ann VascSurg 1997; 11(3): 256-63.
  • 28. Ting A C, Cheng SW , Ho P, Poon JT : Endovascular stent graft repair for infected thoracic aortic pseudoaneurysms-a durable option? J Vasc Surg 2006; 44(4): 701-05.[Crossref][PubMed]
  • 29. Bell R E, Taylor PR, Aukett M et al.: Successful endoluminal repair of an infected thoracic pseudoaneurysm caused by methicillin-resistant Staphylococcus aureus. J Endovasc Ther 2003; 10(1): 29-32.[Crossref]
  • 30. Baril DT, Ellozy S H, Carroccio A et al.: Endovascular repair of an infected carotid artery pseudoaneurysm. J Vasc Surg 2004; 40(5): 1024-27.[Crossref]
  • 31. Kurimoto Y, Tsuchida Y, Saito J et al.: Emergency endovascular stent-grafting for infected pseudoaneurysm of brachial artery. Infection 2003; 31(3): 186-88.
  • 32. Chuter TA , Lukaszewicz G C, Reilly LM et al.: Endovascular repair of a presumed aortoenteric fistula: late failure due to recurrent infection. JEndovasc Ther 2000; 7(3): 240-44.[Crossref]
  • 33. Van Dame H, Deprez M, Creemers E, Limet R : Intrinsic structural failure of polyester (dacron) vascular grafts. Ageneral review. Acta Chir Belg 2005; 105(3): 249-55.
  • 34. Pogorzelski R , Szostek MM, Jakuczun W : Śródnaczyniowe leczenie przetok tętniczo-żylnych na poziomie aorty i naczyń biodrowych. Pol Przegl Chir 2005; 77(12): 1296-1304.
  • 35. Janczak D, Skóra J , Garcarek J i wsp.: Ocena porównawcza wyników leczenia operacyjnego tętniaków piersiowo-brzusznych sposobem klasycznym Crawforda oraz sposobem hybrydowym. PolPrzegl Chir 2012; 84(3): 218-33.
  • 36. Markovic DM, Davidovic LB, Kostic DM et al.: Falseanastomoticaneurysms. Vascular 2007; 15(3): 141-48.[Crossref]
  • 37. Wandschneider W , Bull P, Denck H: Anastomotic aneurysms-an unsolvable problem. Eur J VascSurg 1988; 2(2): 115-19.
  • 38. Alimi Y, Juhan C: Late compications of abdominal aortic prostheses: false aneurysms and aortadigestive fistulas. J Mal Vasc 1995; 20(3): 172-76.
  • 39. Tecchio T , Azzarone M, Nahas MA, Salcuni P: Reinterventions for arterial reconstruction in anastomotic aneurysm. Minerva Chir 1992; 47(9): 815-22.[PubMed]
  • 40. Witkowski M, Stryga W , Noszczyk B H: Pseudoaneurysm after anastomosis of a prosthesis with the femoral artery. Pol Tyg Lek 1996; 51(10-13): 145-47.
  • 41. Raptis S , Faris I, Miller J , Quigley F: The fate of the aortofemoral graft. Eur J Vasc EndovascSurg 1995; 9: 97-102.
  • 42. Cervantes Monteil F, Melliere D, BecqueminJP: Anastomotic aneurysm following insertion of aorto-iliac oraorto-femoral prosthesis. Treatment and long-term results. Chirurgie 1994; 119(9): 511-14
  • 43. Carson S N, Hunter G C, Palmaz J , GuernseyJM: Recurrence of femoral anastomotic aneurysms. Am J Surg 1983: 146(6): 774-78.[Crossref][PubMed]
  • 44. Melliere D, Becquemin J P, Cervantes-MonteilF et al.: Recurrent femoral anastomotic false aneurysms: is long term repair possible? CardiovascSurg 1996: 4(4): 480-82.
  • 45. Youkey JR , Claget G P, Rich NM et al.: Femoral anastomotic False aneurysms. An 11-year experience analyzed with a case control study. Ann Surg 1984; 199(6): 703-08.[Crossref]
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