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  • Title: [Diagnosis and treatment of pseudoaneurysms after reconstructive interventions with the use of synthetic prostheses].
    Author: Cherviakov IuV.
    Journal: Vestn Khir Im I I Grek; 2002; 161(6):59-61. PubMed ID: 12638495.
    Abstract:
    The author analyses an experience with treatment of 43 patients with false aneurysms of anastomoses after reconstructions in the aorto-femoral zone (5.8% of all the patients operated on). A combination with an infection of the prostheses was registered in 9 patients, two of them had aneurysms of the proximal aorto-prosthetic anastomosis. All the patients were operated upon. In three patients with aorto-prosthetic aneurysm resection of the proximal anastomosis was followed by reprosthesing and formation of a new aorto-prosthetic anastomosis. In combination with infection, the explants were completely ablated, the abdominal part of the aorta was ligated. The extraanatomical bifurcational axillary-femoral shunting was fulfilled with good results. When reconstructing the distal anastomoses the aneurysm was resected and the prosthesis was elongated with a linear insertion followed by the formation of a new distal anastomosis. The main blood flow in the extremity was obtained in all the patients. Lethality was 2.3%.
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