A Case of Non-Anastomotic False Aneurysm of Late Fiber Deterioration in Dacron Graft

(Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School, Omiya, Japan)

Akifusa Hariya Atsushi Yamaguchi Hideo Adachi
Seiichiro Murata Masahiko Okada Takashi Ino
Dacron prostheses are the most widely used grafts in replacement procedures for abdominal aortic aneurysms, but they are not perfect grafts. We encountered a rare case of late graft complication. A 66-year-old man was admitted to our hospital with a pulsatile mass in an abdominal operation scar. He had received placement of a Y-shaped Cooley double velour knitted Dacron graft 18 years previously. Computed tomography and angiography demonstrated graft dilatation and an aneurysm. After resection of the graft aneurysms, the operative findings showed a non-anastomotic aneurysm formation due to longitudinal division near the graft guideline. In this case, this graft failure may have been due to the deterioration of the filter of the Dacron prosthesis itself. Therefore it is important to perform careful long-term follow-up in patients with implanted Dacron arterial prostheses.
@Jpn. J. Cardiovasc. Surg. 30: 95-98 (2001)