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The management of massive ultrafiltration distending the aneurysm sac after abdominal aortic aneurysm repair with a polytetrafluoroethylene aortobiiliac.

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Presentation on theme: "The management of massive ultrafiltration distending the aneurysm sac after abdominal aortic aneurysm repair with a polytetrafluoroethylene aortobiiliac."— Presentation transcript:

1 The management of massive ultrafiltration distending the aneurysm sac after abdominal aortic aneurysm repair with a polytetrafluoroethylene aortobiiliac graft  G.Melville Williams, MD  Journal of Vascular Surgery  Volume 28, Issue 3, Pages (September 1998) DOI: /S (98) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Preoperative CT scan demonstrating massive distension of the aneurysm sac overlying the iliac limbs of the PTFE graft. Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Operative findings. A, There was a huge aneurysm sac containing the graft. B, Method of creating a functional peritoneal “window,” using PTFE membrane to prevent adhesions. Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Follow-up CT scans. A, Discharge CT scan. The transverse “cut” is through the window, and there are inflammatory changes anteriorly. B, Resolution of the inflammatory changes with slight reduction in the size of the sac demonstrated by means of a CT scan 10 months postoperative. Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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