Perigraft Seroma after Endovascular Repair of the Abdominal Aortic Aneurysm

1 Citations 6 References
  • TOYO Naoki
    Department of Surgery, The Jikei University School of Medicine
  • OHK Takao
    Department of Surgery, The Albert Einstein College of Medicine
  • SUMI Makoto
    Department of Surgery, The Jikei University School of Medicine
  • TORUMI Hisano
    Department of Surgery, The Jikei University School of Medicine
  • NEGISHI Yuka
    Department of Surgery, The Jikei University School of Medicine

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  • 腹部大動脈瘤ステントグラフト手術後の perigraft seroma

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A 75-year-old man underwent endovascular repair of the abdominal aortic aneurysm. The procedure was aorto-uni-femoral endograft and femorofemoral crossover bypass using PTFE graft. The postoperative course was satisfactory, but 4 years after operation, he was admitted complaining of abdominal fullness. CT scan showed significant increase of aneurysm diameter to 13cm without evidence of endoleak. Endograft replacement with a new Dacron graft was carried out. Intraoperative findings suggested perigraft seroma related to the use of PTFE, and there was no endoleak. The postoperative course was uneventful. Pathological finding of aneurysm showed a lack of hemocytes and thrombocytes.

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