Murat UĞURLUCAN, Murat BAŞARAN, Enver DAYIOĞLU, Ertan ONURSAL, Ufuk ALPAGUT

Aneurysm formation secondary to the use of a bovine vascular graft

Biyolojik vasküler greftler periferik arter hastalıklarının tedavisinde 30 yılı aşkın süredir kullanılmaktadır. Bu materyallerin tromboz, enfeksiyon, anevrizma oluşumu gibi bazı riskleri bulunmaktadır. Elli üç yaşındaki erkek hastada sol yüzeyel femoral arter oklüzyonu nedeniyle sığır mezenterik veni kullanılarak femoropopliteal bypass ameliyatı yapıldı. Bir ay sonra, sol uyluk bölgesinde pulsatil kitle şikayetiyle başvuran hastada primer zenogreft anevrizması saptandı. Anevrizmatik biyolojik materyal politetrafluoroetilen greft ile değiştirildi. Ameliyatı sorunsuz geçen hasta altıncı günde taburcu edildi.

Sığır vasküler grefti kullanımına bağlı anevrizma oluşumu

Biological vascular grafts have been used for the treatment of peripheral arterial diseases for more than 30 years. These materials carry various risks such as thrombosis, infection, and aneurysm formation. A 53-year-old male patient underwent femoropopliteal bypass operation with the use of a bovine mesenteric vein graft for left superficial femoral artery occlusion. He developed a pulsatile mass in the left inner thigh region a month after surgery, which was found to be a primary aneurysm of the xenograft. The aneurysmatic biologic material was replaced with a polytetrafluoroethylene graft. The patient was discharged on the sixth postoperative day without any complications.

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1. Schroder A, Imig H, Peiper U, Neidel J, Petereit A. Result;, of a bovine collagen vascular graft (Solcograft-P) in infrainguinal positions. Eur J Vase Surg 1988;2:315-21.
2. Rossi G, Munteanu FD, Padula G, Carillo FJ, Lord JW. Nonanastomotic aneurysms in venous homologous grafts and bovine heterografts in femoropopliteal bypasses. Am J Surg 1976;132:358-62.
3. Kovalic AJ, Beattie DK, Davies AH. Outcome of ProCol, a bovine mesenteric vein graft, in infrainguinal reconstruction. Eur J Vase Endovasc Surg 2002;24:533-4.
4. Schmidli J, Savolainen H, Heller G, Widmer MK, Then-Schlagau U, Baumgartner I, et al. Bovine mesenteric vein graft (ProCol) in critical limb ischaemia with tissue loss and infection. Eur J Vase Endovasc Surg 2004;27:251 3.
5. Senkaya I, Aytac II, Eercan AK, Aliosman A, Perçin B. The graft selection for haemodialysis. Vasa 2003;32:209-13.
6. Garvin PJ, Castaneda MA, Codd JE. Etiology and management of bovine graft aneurysms. Arch Surg 1982;117:281-4.
7. Hertzer NR, Beven EG. Venous access using the bovine carotid heterograft: techniques, results, and complications in 75 patients. Arch Surg 1978;113:696-700.
8. Hamilton G, Megerman J, L'ltalien GJ, Warnock DF, Schmitz Rixen T, Brewster DC, et al. Prediction of aneurysm formation in vascular grafts of biologic origin. J Vase Surg 1988;7:400-8.
9. Schmitz-Rixen T, Megerman J, Anderson JM, Warnock DF L'ltalien GJ, Erasmi H, et al. Longterm study of a compliant biological vascular graft. Eur J Vase Surg 1991;5:149-58.