A rare complication after axillofemoral bypass operation: disruption of the proximal anastomosis: single case after 12 years' experience in extra-anatomic bypass surgery.

Chousein S., YÜKSEL V., GELDİ O., CANBAZ S.

Vascular, cilt.22, sa.3, ss.206-8, 2014 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 3
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1177/1708538113478747
  • Dergi Adı: Vascular
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.206-8
  • Anahtar Kelimeler: axillofemoral bypass, extra-anatomic bypass, peripheral vascular diseases, postoperative complications
  • Trakya Üniversitesi Adresli: Evet

Özet

Axillofemoral bypass operation is an alternative approach for patients at high risk for aortofemoral reconstruction and for patients with comorbid factors. Proximal anastomotic disruption, upper extremity thromboembolism, graft infection and seroma formation are known postoperative complications after axillofemoral bypass. Proximal anastomotic disruption is a severe complication in the early postoperative period and is usually secondary to technical errors in anastomosis, mechanical distress and infections. We performed a left axillofemoral bypass and left femoropopliteal bypass operation under general anesthesia by using an 8 mm full ringed polytetrafluoroethylene graft. On the seventh postoperative day, patient complained a sudden pain and swelling on left subclavian incision after a hyperabduction of the left arm. Patient was taken into operation theatre just after this complaint for suspicion of disruption of the proximal anastomosis. We report a case with proximal anastomotic disruption after axillofemoral bypass operation in accordance with literature data. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.