[The diagnosis of false aneurysms of the proximal anastomoses after aortofemoral reconstructive operations]

Abstract

The paper deals with the diagnostic aspects of false aneurysms of proximal anastomosis of prostheses with the aorta on the basis of examination of 9 patients aged 3-65 years after aortofemoral reconstructive operations. The periods of the occurrence of false aneurysms were 2 weeks to 6 years. The causes of anastomosis aneurysms: infection in 3 patients, endarterectomy from the aorta at the site of applied anastomosis in 1 patient, progressive underlying disease in 2 and ill-grade suturing material (silk). The cause of the disease could not be established in 2 patients. The authors provide strong evidence for a high informative value of various examinations, including ultrasound echo scanning, computer tomography, radioopaque aortography. They also emphasize a great practical value of using the algorithm of microbial analysis of blood, urine, and tissue of false aneurysm for confirming its infections.