Location and Incidence Rate of Anastomotic Aneurysms – own Clinical Material and Literature Review

• Authors: Ryszard Pogorzelski , Sadegh Toutounchi , Patryk Fiszer , Ewa Krajewska , Robert Tworus , Małgorzata M. Szostek , Wawrzyniec Jakuczun , Maciej Skórski
• Languages of publication: EN

Abstracts

EN

Anastomotic aneurysms occurs at various levels of arterial system. Determining their location and incidence rate required investigation of large patient clinical material. Material and methods. In the years 1989-2010 in local centre 230 anastomotic aneurysms were operated in 180 patients. Results. For 187 (81.3%) patients anastomotic aneurysms were localised in the groin, while for remaining 43 (18.7%) they occurred in other localisations. In aortic arch branch they occurred four times (1.7), in descending aorta - three times (1.3%), in abdominal aorta - 14 (6.1%) and in iliac arteries - 6 (2.6%). While for anastomosis with popliteal artery they were diagnosed in 16 (7%) patients. Own clinical material was compared with literature data. Conclusions. Anastomotic aneurysms in over 80% of cases occur in the groin, remaining percentage corresponds to other localisations.

Keywords

EN

aneurysms; false aneurysms; anastomotic aneurysms; aneurysm treatment

• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 4
• Pages: 181-188

Dates

published

1 - 4 - 2014

received

19 - 2 - 2014

online

27 - 6 - 2014

Contributors

author

Ryszard Pogorzelski

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Sadegh Toutounchi

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Patryk Fiszer

• Department of General and Thoracic Surgery, Warsaw Medical University,

author

Ewa Krajewska

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Robert Tworus

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Małgorzata M. Szostek

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Wawrzyniec Jakuczun

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Maciej Skórski

• Department of General and Thoracic Surgery, Warsaw Medical University

References

• 1. Skourtis G, Bountouris I, Papacharalambous G et al.: Anastomotic aneurysms: our experience with 49 cases. Ann Vasc Surg 2006; 20(5): 582-89.[Crossref]
• 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. Kostewicz W: Badania nad tętniakami rzekomymi w zespoleniu dalszym protezy aortalno/biodrowoudowej. Akademia Medyczna w Warszawie 1998.
• 4. Casey PJ, Lamuraglia GM: Anastomotic aneurysms. W: Rutherford RB, (red.) Wyd. Philadelphia: Elsevier Sunders 2005; s. 894-902.
• 5. Leurs LJ, 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.
• 6. A bou-Zamzam AM Jr, Ballard JL: Management of sterile para-anastomotic aneurysms of the aorta. SeminVasc Surg 2001; 14(4): 282-91.
• 7. O dero A, Arici V, Canale S: Proximal abdominal aortic aneurysms after infrarenal aortic reconstruction. Ann Ital Chir 2004; 75(2): 211-21.
• 8. K ashyap VS, O’Hara PJ: Aortoenteric fistulae. W: Rutheford RB, (red.) Vascular surgery. Wyd. 6. Elsevier Sunders 2005; s 902-915.
• 9. Markovic DM, Davidovic LB, Kostic DM et al.: Anastomotic pseudoaneurysms. Srp Arh Celok Lek 2006; 134(3-4): 114-21.[PubMed]
• 10. A guiar ET, Langer B, Lobato AC: Risk of development of false aneurysm and graft infection after aorta-femoral bypass graft. Retrospective study. Report of 211 cases. J Mal Vasc 1996; 21(1): 36-39.
• 11. A rakelian VS, Petrova NN, Spiridonov AA: Clinical astects, diagnosis and indications for sur gery in anastomotic aneurysms occurring after reconstructive operations of the thoracic aorta. Kardiol Pol 1989; 29(12): 32-35.
• 12. N uman F, Arbatli H, Yagan N et al.: Endovascular treatment of an aortobronchal fistula. Cardiovasc Intervent Radiol 2004; 27(1): 71-73.
• 13. Biewener A, Mobus U, Grass R et al.: Fatal aorto- esopageal as a late complication of traumatic aortic rupture. Unfallchirurg 2000; 103(2): 156-59.[Crossref]
• 14. K aya A, Heijmen RH, Overtoom TT et al.: Thoracic stent grafting for acute aortic pathology. Ann Thorac Surg 2006; 82(2): 560-65.
• 15. Miyata T, Ohara N, Shigematsu H et al.: Endovascular stent graft repair of aortopulmonary fistula. J Vasc Surg 1999; 29(3): 557-60.[PubMed][Crossref]
• 16. 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.
• 17. Carrel T, Do DD, Muller M et al.: Combined endovascular and surgical treatment of complex traumatic lesions of thoracic aorta. Lancet 1997; 350(9085): 1146.[PubMed][Crossref]
• 18. Schumacher H, Bockler D, von Tengg-Kobligk H, Allenberg JR: Acute traumatic aortic tear: open versus stent-graft repair. SeminVasc Surg 2006; 19(1): 48-59.
• 19. D oss M, Wood JP, Balzer J et al.: Emergensy endovascular interventions for acute thoracic aortic rupture: four-year follow-up. Cardiovasc Surg 2005; 129(3): 645-51.
• 20. Chiesa R, Marone EM, Brioschi C et al.: Open repairof pararenal aortic aneurysms: operative management, early results, and risk factor analysis. Ann Vasc Surg 2006; 20(6): 739-46.[PubMed][Crossref]
• 21. Ben Omrane S, Kaouel K, Ziadi J et al.: Anastomotic false aneurysms after under-diaphragmatic by-passes: about 25 cases. Ann Cardiol Angeiol 2006; 55(5): 294-99.[Crossref]
• 22. Magnan PE, Albertini JN, Bartoli JM et al.: Endovascular treatment of anastomotic false aneurysms of the abdominal aorta. Ann Vasc Surg 2003; 17(4): 365-74.[PubMed][Crossref]
• 23. van Harwaarden JA, Waasdopr EJ, Bendermacher BL et al.: Endovascular repair of paraanastomotic aneurysms after previous open prosthetic reconstruction. Ann Vasc Surg 2004; 18(3): 280-86.[Crossref]
• 24. Janczak D, Skóra J, Garcarek J i wsp.: Ocena porównawcza wyników leczenia operacyjnego tętniaków piersiowo-brzusznych sposobem klasycznym Crawforda oraz sposobem hybrydowym. Pol Przegl Chir 2012; 84(3): 218-33.
• 25. T iesenhausen K, Hausegger KA, Tauss J et al.: Endovascular treatment of proximal anastomotic aneurysms after prosthetic reconstruction. Cardiovasc Intervent Radiol 2001; 24(1): 49-52.[PubMed]
• 26. Melissano G, Di Mario C, Tshomba Y et al.: Endovascular treatment of a noninfected anastomotic juxtarenal aortic aneurysm. Tex Heart Inst J 2000; 27(4): 408-11.[PubMed]
• 27. Gawenda M, Zaehringer M, Brunkwall J: Open versus endovascular repair of para-anastomotic aneurysms in patients who were morphological candidates for endovascular treatment. J Endovasc Ther 2003; 10(4): 745-51.[PubMed][Crossref]
• 28. D i Tommaso L, Monaco M, Piscione F et al.: Endovascular stent grafts as a safe secondary option for para-anastomotic abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 2007; 33(1): 91-93.[PubMed][Crossref]
• 29. Mercier O, Coggia M, Javerliat I et al.: J Total laparoscopic repeat aortic surgery. Vasc Surg 2004; 40(4): 822-25.[Crossref]
• 30. Giordanengo F, Vandone PL, Varini F, Miani S: Prosthetic separation in the retroperitonum in reconstructive arterial surgery. Minerva Cardioangiol 1993; 41(12): 581-86.[PubMed]
• 31. D ieter Ra Jr, Blum AS, Pozen TJ, Kuzycz G: Endovascular repair of aortojejunal fistula. Int Surg 2002; 87(2): 83-86.
• 32. A limi Y, Juhan C: Late compications of abdominal aortic prostheses: false aneurysms and aortadigestive fistulas. J Mal Vasc 1995; 20(3): 172-76.
• 33. Camps JI, Ortiz VN, Vargas J, Figueroa M: Uretero-arterial fistula: a case report and review of the literature. Bol Asoc Med P R 1998; 90(4-6): 82-84.
• 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. Juhan C, Espinoza H, Alimi Y et al.: False anastomotic iliac aneurysms. How to detect them? Chirurgie 1992; 118(1-2): 55-58.[PubMed]
• 36. 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]
• 37. Y uan JG, Marin ML, Veith FJ et al.: Endovascular graft for noninfected aortoiliac anastomosis aneurysms. J Vasc Surg 1997; 26(2): 210-21.
• 38. Courbier R, Ferdani M, Jausseran JM et al.: The role of omentopexy in the prevention of femoral anastomotic aneurysm. J Cardiovasc Surg 1992; 33(2): 149-53.
• 39. D emarche M, Waltregny D, van Damme H, Limet R: Femoral anastomotic aneurysms: pathogenic factors, clinical presentation and treatment. A study of 142 cases. Cardiovasc Surg 1999; 7(3): 315-22.
• 40. Sciannameo F, Ronca P, Caselli M et al.: The anastomotic aneurysms. J Cardiovasc Surg 1993; 34(2): 145-51.
• 41. Sharma NK, Chin KF, Modgill VK: Pseudoaneurysms of the femoral artery: recommendation for a method of repair. J R Coll Surg Edinb 2001; 46(4): 195-97.[PubMed]
• 42. Mulder EJ, van Bockel JH, Mass J et al.: Morbidity and mortality of reconstructive surgery of noninfected false aneurysms detected long after aortic prosthetic reconstruction. Arch Surg 1998; 133(1): 45-49.[PubMed][Crossref]
• 43. Corriere MA, Guzman RJ: True and false aneurysms of the femoral artery. SeminVasc Surg 2005; 18(4): 216-23.
• 44. Levi N, Schroeder TV: True and anastomotic femoral artery aneurysms: is the risk of rupture and thrombosis related to the size of the aneurysms? Eur J Endovasc Surg 1999; 18(2): 111-13.[Crossref]
• 45. Sigala F, Georgopoulos S, Sigalas K et al.: Femoral anastomotic aneurysms in the modern era: a reappraisal of a continuing caallenge. Minerva Chir 2006; 61(2): 95-101.
• 46. A levizacos P, Hepp W: Infra-inguinal suture aneurysm. Vasa 1994; 23(2): 131-37.[PubMed]
• 47. Criado E, Marston WA, Ligush J et al.: Endovascular repair of peripherial aneurysms, pseudoaneurysms, and arteriovenous fistulas. Ann Vasc Surg 1997; 11(3): 256-63.[Crossref]
• 48. Pogorzelski R, Macioch W, Ostrowski T i wsp.: Tętniaki zespoleniowe po operacjach naprawczych tętnic kończyn dolnych. Pol Przegl Chir 1996; 68(1): 50-53.
• 49. D eglise S, Qanadli SD, Rizzo E et al.: Long-term follow-up of surgically excluded popliteal artery aneurysms with multi-slice CT angiography and Doppler ultrasound. Eur Radiol 2006; 16(6): 1323-30.
• 50. Biolik G, Kuczmik W, Ziaja D, Glanowski M: Wewnątrznaczyniowe leczenie późnych powikłań pomostowania obwodowego - tętniak rzekomy zespolenia dystalnego. Opis przypadku. Chirurgia Pol 2006; 8(3): 223-27.
• 51. Bohra AK, Doyle T, Harvey C: True aneurysm of a femoropopliteal vein graft. Int J Clinic Practice 2001; 55(10): 725-26.
• 52. Chan YC, Morales J, Burnand KG: Development of simultaneous anastomotic false aneurysms at both ends of an autologous vein graft caused by methicillin- resistent Staphylococcus aureus (MRSA). Acta Chir Belg 2006; 106(5): 619-21. 10-VI
• 53. Casey PJ, Lamuraglia GM: Anastomotic aneurysms. W: Rutherford RB, (red.) Wyd. Philadelphia: Elsevier Sunders 2005; s.894-902.
• 54. Lotina S, Davidović L, Kostić D et al.: Aneurysms of the carotid artery. Srp Arh Celok Lek 1997; 125(5-6): 141-53.[PubMed]
• 55. McIntosch BC, Bakhos CT, Wseeney TF et al.: Endovascular repair of transplant nephrectomy external iliac artery pseudoaneurysm. Conn Med 2005; 69(8): 465-66.
• 56. Buckley JG, George EA: Serendipitous scintigraphic detection of asymptomatic pseudoaneurysms in human pancreatic allografts. Clin Nucl Med 1992; 17(6): 485-88.[Crossref][PubMed]
• 57. Y asim A, Kabalci M, Eroglu E, Zencirci B: Complication of hemodialysis graft: anastomotic pseudoaneurysm: a case report. Transplant Proc 2006; 38(9): 2816-18.

Identifiers

DOI

10.2478/pjs-2014-0033