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Symptomatic sac enlargement and rupture due to seroma after open abdominal aortic aneurysm repair with polytetrafluoroethylene graft: Implications for.

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Presentation on theme: "Symptomatic sac enlargement and rupture due to seroma after open abdominal aortic aneurysm repair with polytetrafluoroethylene graft: Implications for."— Presentation transcript:

1 Symptomatic sac enlargement and rupture due to seroma after open abdominal aortic aneurysm repair with polytetrafluoroethylene graft: Implications for endovascular repair and endotension  Catherine H.C. Thoo, MB, BS, Bernard M. Bourke, MB, BS, FRACS, DDU, James May, MD, MS, FRACS  Journal of Vascular Surgery  Volume 40, Issue 6, Pages (December 2004) DOI: /j.jvs Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Case 3. Five years after open AAA repair, contrast-enhanced computed tomography scan demonstrates a sac 9 cm in diameter surrounding graft limbs. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Case 3. Operative photograph shows sac being held open with self-retaining retractor after evacuation of seroma. Note white gelatinous material that remains firmly adherent to bifurcation region of underlying graft (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Case 4. A, Contrast-enhanced computed tomography scan at original presentation with abdominal pain (2001), 4 years after open abdominal aortic aneurysm repair, demonstrates enlargement of aneurysm sac, from 5-cm diameter before open repair to 7.3-cm diameter in B, Contrast-enhanced computed tomography scan at unscheduled presentation in August 2004 demonstrates further increase in sac diameter, to 10.5 cm, and presumed rupture of contents into left retroperitoneal tissues. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Case 5. Five years after open repair of abdominal aortic aneurysm non-contrast-enhanced computed tomography scan (A) and contrast-enhanced computed tomography scan (B) demonstrate retroperitoneal hematoma (arrow), associated with aortic sac 8.8 cm in diameter. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Case 5. Operative photograph shows semisolid gelatinous contents after evacuation from aortic sac. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Case 5. Operative photograph demonstrates opened sac after evacuation of contents shown in Fig 5. Sucker head (arrow) is sitting in a tear in sac wall. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

8 Fig 7 Photograph of seroma extending along length of Gore-tex polytetrafluoroethylene graft in thigh, used for access to circulation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

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