A Technical Tip of Aortic Stump Reinforcement with Plication of the Falciform Ligament of the Liver.
Ann Vasc Surg
; 68: 549-552, 2020 Oct.
Article
em En
| MEDLINE
| ID: mdl-32416312
ABSTRACT
BACKGROUND:
The residual stump after excision of an infected aortic graft may be subject to acute disruption-blowout-because of recurrence of infection or fatigue due to the mechanical stress. We present an innovative technique in which we used the falciform ligament of the liver to reinforce the aortic stump.METHODS:
We excised the falciform ligament by giving attention to avoid any bleeding from the liver. The aortic stump was reinforced with synthetic, monofilament, nonabsorbable polypropylene sutures and the falciform ligament of the liver was plicated inside the stump and further sutured with polypropylene sutures.RESULTS:
After 5 months, he is in excellent condition. His laboratory examination is normal, he has stopped taking antibiotics, gained his initial weight, and recovered full activity.CONCLUSIONS:
We presented an innovative technique in which we used the falciform ligament of the liver to reinforce the aortic stump after excision of an infected aortobiiliac synthetic graft. This technique can be an alternative option in patients with weak arterial wall or extended bacterial local infection in the retroperitoneal area which renders the aortic wall tissue extremely stiff to be folded and sutured. This technique may enhance the mechanical integrity of the stump.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aorta Abdominal
/
Técnicas de Sutura
/
Infecções Relacionadas à Prótese
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Aneurisma da Aorta Abdominal
/
Implante de Prótese Vascular
/
Remoção de Dispositivo
/
Ligamentos
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Ann Vasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article